Organization Active NPI

Stephen M. Cohen OD, P.C.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1982956777
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
675 Issued in AZ
Legal business name
STEPHEN M. COHEN OD, P.C.
Practice address
10900 N Scottsdale Rd Ste 301
Scottsdale, AZ 85254-5230
Phone
(480) 513-3937
Fax
(480) 367-6711
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Stephen Mitchell Cohen, ODNPI 1891765921
Title
President
Phone
(480) 513-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 675 AZ Primary

Addresses

Primary practice location

10900 N Scottsdale Rd Ste 301
Scottsdale, AZ 85254-5230

Mailing address

10900 N Scottsdale Rd Ste 301
Scottsdale, AZ 85254-5230
Phone (480) 513-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121010000146 AZ Part B Supplier - Clinic/Group Practice 1658520556 Receives reassigned benefits from 4 practitioners
Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2086073Stephen Cohen, OD PC10900 N Scottsdale Rd, Ste 301, Scottsdale, AZ 85254Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1982956777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD STE 301",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545230",
            "telephone_number": "480-513-3937",
            "fax_number": "480-367-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD STE 301",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545230",
            "telephone_number": "480-513-3937",
            "fax_number": "480-367-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M. COHEN OD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-513-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.