Individual provider Active NPI

Shari Nancy Cohen, OD

  • Optometrist
  • Wantagh, NY
National Provider Identifier
1750509980
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005770 Issued in NY
Practice address
1229 Wantagh Ave
Wantagh, NY 11793-2203
Phone
(516) 221-2220
NPI assigned
Apr 23, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X VUT005770 NY
Optometrist 152W00000X VUT005770 NY Primary

Addresses

Primary practice location

1229 Wantagh Ave
Wantagh, NY 11793-2203

Mailing address

76 Fox Hollow Rd
Woodbury, NY 11797-1607
Phone (516) 802-3637

Other practice location 1

375 E Main St
Bay Shore, NY 11706-8418
Phone (631) 231-4455

Other practice location 2

281 Main St
Huntington, NY 11743-7046
Phone (631) 427-8500

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
I20040513000629 NY Practitioner - Optometry 6608866587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optyx LLCGroup PAC ID 6406207737, 10 clinicians

Practice addresses (Care Compare)

1229 Wantagh Ave
Wantagh, NY 11793-2203
Phone (516) 221-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT005770NYMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optyx LLC Optometrist CurrentSince Dec 26, 2023 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Mar 1, 2015 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Mar 1, 2015 Accepting new patients
Optyx LLC Past Accepting new patients

Locations

312 Springfield Ave
Berkeley Hts, NJ 07922
Phone 5125052046321

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

281 Main St
Huntington, NY 11743
Phone (631) 427-8500

10095 Main Rd
Mattituck, NY 11952
Phone (631) 213-4499

1036 3rd Ave
New York, NY 10065
Phone (212) 751-6177

2384 Broadway
New York, NY 10024
Phone (212) 724-0850

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

1229 Wantagh Ave
Wantagh, NY 11793
Phone (516) 221-2220

Organizations & group practices 4

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750509980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 FOX HOLLOW RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971607",
            "telephone_number": "516-802-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932203",
            "telephone_number": "516-221-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117068418",
            "country_code": "US",
            "telephone_number": "631-231-4455",
            "fax_number": "631-257-5098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "281 Main St",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117437046",
            "country_code": "US",
            "telephone_number": "631-427-8500",
            "fax_number": "631-421-1225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "SHARI",
        "middle_name": "NANCY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "VUT005770",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.