Organization Active NPI

Mark H Cohn, OD, PS

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1982935953
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD 0001034TX Issued in WA
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

Updated by the provider on Jan 14, 2010

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OD 0001034TX WA Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X OD0001034TX WA
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X OD0001034TX WA
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2013423MedicaidWA
G000100988OtherWAMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.