Gavin Cohen

Primary specialty

OptometristTaxonomy code 152W00000X

License

1768 Issued in GA

Practice address

1244 W Paces Ferry Rd NW
Atlanta, GA 30327-2306

Phone

(404) 844-1500

Fax

(404) 844-2700

NPI assigned

Mar 6, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optique at Brookhaven, LLC

  dba Reflections Eyecare

  • Corneal and Contact Management Optometrist
  • Atlanta, GA
  • NPI 1679878524
  Medicare reassignment NPD Authorized official
• Oculare Personalized Eyecare

  • Optometrist
  • Atlanta, GA
  • NPI 1992686448
  NPD Authorized official
• Optique at West Paces LLC

  • Optometrist
  • Atlanta, GA
  • NPI 1659550515
  NPD
• Oneopto Ga 1 PLLC

  dba Reflections Eyecare

  • Optometrist
  • Brookhaven, GA
  • NPI 1699624007
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760512040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 W PACES FERRY RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272306",
            "telephone_number": "404-844-1500",
            "fax_number": "404-844-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 W PACES FERRY RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272306",
            "telephone_number": "404-844-1500",
            "fax_number": "404-844-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "GAVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Max Cohen, MD
• Deborah Lynn Cohen, MS, SPED
• Dena Janko Cohen, MA, CCC-SLP
• Erika Dyan Cohen, LCSW
• Gabriela Cohen
• Hayley Cohen
• Howard J Cohen, MD
• Jamie Cohen, BCBA
• Janis Rachel Cohen, LCSW
• Jonathon Brett Cohen, M.D.

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.