Individual provider Active NPI

Charles A Cohen, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1720753973
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009364 Issued in NY
Practice address
2148 Ocean Ave Ste 603
Brooklyn, NY 11229-1485
Phone
(718) 339-5100
NPI assigned
Aug 10, 2021
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009364 NY Primary

Addresses

Primary practice location

2148 Ocean Ave Ste 603
Brooklyn, NY 11229-1485

Mailing address

2148 Ocean Ave Ste 603
Brooklyn, NY 11229-1485
Phone (718) 339-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230605002321 NY Practitioner - Optometry 1850758921 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009364NYMDMental Health Counselor
TUV009364NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lens Center Inc Optometrist CurrentSince Apr 18, 2023 Accepting new patients
Empire Vision Center, Inc CurrentSince Nov 10, 2025 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Nov 10, 2025 Accepting new patients

Locations

5511 New Utrecht Ave
Brooklyn, NY 11219
Phone (718) 437-8772

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

1663 E Henrietta Rd
Rochester, NY 14623
Phone (585) 424-7000

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1720753973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 OCEAN AVE STE 603",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291485",
            "telephone_number": "718-339-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 OCEAN AVE STE 603",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291485",
            "telephone_number": "718-339-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.