Active NPI
Stanley Cohen, O.D.
- Occupational Vision Optometrist
- E Northport, NY
National Provider Identifier
1700917648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- T002715-1
- Practice address
- 3027 Jericho Tpke
E Northport, NY 11731-6215 - Phone
- (631) 499-0066
- Fax
- (631) 499-2650
- NPI assigned
- Mar 9, 2007
- 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 |
|---|---|---|---|---|
| Occupational Vision Optometrist | 152WX0102X | T002715-1 | NY | Primary |
Addresses
Primary practice location
3027 Jericho Tpke
E Northport, NY 11731-6215
Mailing address
3027 Jericho Tpke
E Northport, NY 11731-6215
Phone (631) 499-0066
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T002715-1 | NY | MD | Occupational Vision Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700917648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 JERICHO TPKE",
"city": "E NORTHPORT",
"state": "NY",
"postal_code": "117316215",
"telephone_number": "631-499-0066",
"fax_number": "631-499-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 JERICHO TPKE",
"city": "E NORTHPORT",
"state": "NY",
"postal_code": "117316215",
"telephone_number": "631-499-0066",
"fax_number": "631-499-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "NY",
"license": "T002715-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in E Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.