Active NPI
Mark H Cohn, OD, PS
- Optometrist
- Bellevue, WA
National Provider Identifier
1982935953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD 0001034TX
- Legal business name
- MARK H COHN, OD, PS
- Practice address
- 15650 NE 24TH St
Suite B
Bellevue, WA 98008-2460 - Phone
- (425) 746-9914
- Fax
- (425) 746-9916
- NPI assigned
- Jan 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Cohn, O.D.
- Title
- Doctor
- Phone
- (425) 746-9914
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD 0001034TX | WA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OD0001034TX | WA | |
| Sports Vision Optometrist | 152WS0006X | OD0001034TX | WA | |
| Occupational Vision Optometrist | 152WX0102X | OD0001034TX | WA |
Addresses
Primary practice location
15650 NE 24TH St
Suite B
Bellevue, WA 98008-2460
Mailing address
15650 NE 24TH St
Suite B
Bellevue, WA 98008-2460
Phone (425) 746-9914
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013423 | Medicaid | WA | |
| G000100988 | Other | WA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263427200000",
"number": "1982935953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15650 NE 24TH ST",
"address_2": "SUITE B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980082460",
"telephone_number": "425-746-9914",
"fax_number": "425-746-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15650 NE 24TH ST",
"address_2": "SUITE B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980082460",
"telephone_number": "425-746-9914",
"fax_number": "425-746-9916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK H COHN, OD, PS",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-14",
"last_updated": "2010-01-14",
"status": "A",
"authorized_official_last_name": "COHN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "425-746-9914",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "OD 0001034TX",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "WA",
"license": "OD0001034TX",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": "WA",
"license": "OD0001034TX",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": "WA",
"license": "OD0001034TX",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2013423",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G000100988",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.