Active NPI
Howard Robert Cohen, OD
- Optometrist
- Shelton, CT
National Provider Identifier
1679564736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 000738
- Practice address
- 190 Coram Ave
Shelton, CT 06484-3347 - Phone
- (203) 924-2175
- Fax
- (203) 924-9232
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 000738 | CT | Primary |
Addresses
Primary practice location
190 Coram Ave
Shelton, CT 06484-3347
Mailing address
190 Coram Ave
Shelton, CT 06484-3347
Phone (203) 924-2175
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18812 | Other | CT | SPECTERA |
| 000777 | Other | CT | HEALTHNET |
| 906160 | Other | CT | HEALTHNET |
| 004754 | Other | HEALTHY OPTIONS | |
| 1919 | Other | CT | DAVIS VISION |
| 0128710001 | Other | CT | DMERC REGION A |
| 090000738CT01 | Other | CT | BLUE CROSS |
| 117636 | Other | CT | EYEMED |
| 763317 | Other | CT | CONNECTICARE |
| P404250 | Other | CT | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000738 | CT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1679564736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 CORAM AVE",
"city": "SHELTON",
"state": "CT",
"postal_code": "064843347",
"telephone_number": "203-924-2175",
"fax_number": "203-924-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 CORAM AVE",
"city": "SHELTON",
"state": "CT",
"postal_code": "064843347",
"telephone_number": "203-924-2175",
"fax_number": "203-924-9232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "HOWARD",
"middle_name": "ROBERT",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "000738",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "18812",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "000777",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "906160",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY OPTIONS",
"identifier": "004754",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "1919",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC REGION A",
"identifier": "0128710001",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "090000738CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "117636",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "763317",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P404250",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.