Organization Active NPI

Andrea Optical Inc.

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1922420306
Registry record updated Sep 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ANDREA OPTICAL INC.
Practice address
132 W 57TH St
New York, NY 10019-3318
Phone
(212) 581-4967
Fax
(718) 646-1330
NPI assigned
Jan 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2014

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

Authorized official

Name
Mrs. Andrea Kogan
Title
Owner
Phone
(212) 581-4967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

132 W 57TH St
New York, NY 10019-3318

Mailing address

132 W 57TH St
New York, NY 10019-3318
Phone (212) 581-4967

Other names 1

  • Cohen's Fashion Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250328002414 NY Part B Supplier - Clinic/Group Practice 4183147226 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411776000000",
    "number": "1922420306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193318",
            "telephone_number": "212-581-4967",
            "fax_number": "718-646-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193318",
            "telephone_number": "212-581-4967",
            "fax_number": "718-646-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-09-27",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-581-4967",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's Fashion Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.