Wallace Todd Cohron, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1372DT Issued in KY

Practice address

221 W GL Smith St
Morgantown, KY 42261-1007

Phone

(270) 526-6800

Fax

(270) 526-5462

NPI assigned

Jan 17, 2006

Last updated

Feb 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Optometry

Education

Southern College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: todd.cohron@direct.revolutionehr.com

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.

• Cohron Family Optometric Services Inc

  dba Todd Cohron OD

  • Optometrist
  • Hartford, KY
  • NPI 1275725152
  Medicare reassignment NPD
• Cohron Family Optometric Services Inc

  dba Todd Cohron OD

  • Optometrist
  • Morgantown, KY
  • NPI 1679732127
  NPD

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1811977937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W GL SMITH ST",
            "address_2": "PO BOX 1007",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422611007",
            "telephone_number": "270-526-6800",
            "fax_number": "270-526-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W GL SMITH ST",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422611007",
            "telephone_number": "270-526-6800",
            "fax_number": "270-526-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHRON",
        "first_name": "WALLACE",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1372DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA IN HARTFORD",
            "identifier": "02144",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE IN MORG",
            "identifier": "410032989",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013720",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLU SHIELD",
            "identifier": "000000041898",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA FUNDS",
            "identifier": "1524171",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE IN HART",
            "identifier": "410032987",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000041897",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA IN MORGANTOWN",
            "identifier": "02145",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Carter, RN
• Changing Lives Together Residential Services, LLC
• Shalini Chhabra, M.D.
• Deborah S Clark, APRN
• Cohron Family Optometric Services Inc (Todd Cohron OD)
• Chloe Corley
• Matthew Cravens, DPT
• Chelsee Dalcourt
• Kerissa M Daughenbaugh, APRN
• Dexter Physical Therapy LLC (Physical Therapy Plus)

• Optometrist in Morgantown, KY
• Providers in Morgantown, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.