Pro-Vision, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CT 000961 Issued in CT

Legal business name

PRO-VISION, INC.

Doing business as

Cohen's Fashion Optical

Practice address

100 Greyrock PL
Stamford, CT 06901-3118

Phone

(203) 359-9600

Fax

(203) 975-8836

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Blum, O.D.NPI 1386741809

Title

Owner

Phone

(203) 359-9600

Specialties & licenses 1

Addresses

Other names 1

• Cohen's Fashion Optical Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Blum, OD

  • Optometrist
  • Stamford, CT
  • NPI 1386741809
  Authorized official Same address or phone

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942325600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREYROCK PL",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013118",
            "telephone_number": "203-359-9600",
            "fax_number": "203-975-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREYROCK PL",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013118",
            "telephone_number": "203-359-9600",
            "fax_number": "203-975-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-359-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT 000961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's Fashion Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Stamford, CT
• Providers in Stamford, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.