Active NPI
Todd G Cohan, O.D
- Optometrist
- Long Grove, IL
National Provider Identifier
1841244878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046009356
- Practice address
- 4160 Il Rte 83
Suite 107
Long Grove, IL 60047 - Phone
- (847) 955-9393
- Fax
- (847) 955-9857
- NPI assigned
- May 22, 2006
- Last updated
- Jun 25, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046009356 | IL | Primary |
Addresses
Primary practice location
4160 Il Rte 83
Suite 107
Long Grove, IL 60047
Mailing address
4160 Il Route 83
Suite 107
Long Grove, IL 60047-8034
Phone (847) 955-9393
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001604768 | Other | IL | BLUE CROSS BLUE SHIELD |
| P00005501 | Other | RAILROAD MEDICARE | |
| 046009356 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4160 Il Route 83
Suite 107
Long Grove, IL 60047-8034
Phone (847) 955-9393
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046009356 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Dry Eye Center LLC | Optometrist | Current | Accepting new patients |
| Forsight Vision, LTD | Optometrist | Current | Accepting new patients |
Locations
191 Waukegan Rd
Ste 120
Northfield, IL 60093
Phone (847) 278-9257
Organizations & group practices 2
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.
-
- Optometrist
- Long Grove, IL
- NPI 1386816320
-
- Optometrist
- Lincolnwood, IL
- NPI 1366106775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1841244878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 IL ROUTE 83",
"address_2": "SUITE 107",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600478034",
"telephone_number": "847-955-9393",
"fax_number": "847-955-9857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 IL RTE 83",
"address_2": "SUITE 107",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "60047",
"telephone_number": "847-955-9393",
"fax_number": "847-955-9857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHAN",
"first_name": "TODD",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046009356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0001604768",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00005501",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046009356",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Grove, IL
- Chmela Fluency Center, Inc.
- Kristin A Chmela, M.A., CCC-SLP, BRFS
- Jessica Christiansen, DNP, APN, AG-ACNP-BC
- Stefania Maria Christou-Cozza, FNP-BC
- Steven Harrison Cobb, M.D.
- Complete Hearing Care, P.C. (Long Grove Audiology)
- Kathleen N Cornell, P.A.
- Natalie Correia, D.O.
- Matthew G Cross, RPH
- Erin Marie Daly, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.