Individual provider Active NPI

Kenneth Lee Cohen, M.D.

  • Ophthalmology Physician
  • Chapel Hill, NC
National Provider Identifier
1942225446
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
22903 Issued in NC
Practice address
106 Mason Farm Rd
Kittner Eye Center
Chapel Hill, NC 27599-7720
Phone
(919) 966-2061
Fax
(919) 966-6482
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 22903 NC Primary

Addresses

Primary practice location

106 Mason Farm Rd
Kittner Eye Center
Chapel Hill, NC 27599-7720

Mailing address

130 Mason Farm Rd
5151 Bioinformatics Building, CB# 7040
Chapel Hill, NC 27599-7040
Phone (919) 966-5296

Other identifiers 1

IdentifierTypeStateIssuer
8923525MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100427000707 NC Practitioner - Ophthalmology 4183751951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22903NCMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1942225446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MASON FARM RD",
            "address_2": "5151 BIOINFORMATICS BUILDING, CB# 7040",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997040",
            "telephone_number": "919-966-5296",
            "fax_number": "919-966-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MASON FARM RD",
            "address_2": "KITTNER EYE CENTER",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997720",
            "telephone_number": "919-966-2061",
            "fax_number": "919-966-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "22903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8923525",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.