Individual provider Active NPI

Thomas Michael Cohen, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1992359327
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011335 Issued in IL
Practice address
3250 N Lincoln Ave
Chicago, IL 60657-1117
Phone
(773) 935-2020
NPI assigned
Jul 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011335 IL Primary

Addresses

Primary practice location

3250 N Lincoln Ave
Chicago, IL 60657-1117

Mailing address

1909 W Roscoe St Unit 3
Chicago, IL 60657-1029
Phone (847) 287-8061

Other practice location 1

2315 W Lawrence Ave
Chicago, IL 60625-1913
Phone (773) 935-2020

Other practice location 2

141 W Jackson Blvd
Chicago, IL 60604-2992
Phone (312) 427-9555

Other practice location 3

1130 S Wabash Ave # 101
Chicago, IL 60605-2372
Phone (312) 662-1904

Other practice location 4

1012 W Monroe St
Chicago, IL 60607-3390
Phone (312) 600-9998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190826003971 IL Practitioner - Optometry 8820326010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lyons Family Eyecare PCGroup PAC ID 3577752690, 3 clinicians

Practice addresses (Care Compare)

3250 N Lincoln Ave
Chicago, IL 60657-1117
Phone (773) 935-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011335ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co. Inc. Optometrist CurrentSince Jul 20, 2019 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Jul 20, 2019 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Lyons Family Eyecare PC Optometrist CurrentSince Aug 15, 2019 Accepting new patients
Comprehensive Eyecare Physicians PC Past Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

2315 W Lawrence Ave
Chicago, IL 60625
Phone (773) 935-2020

1706 E Roosevelt Rd
Wheaton, IL 60187
Phone (630) 653-8885

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1992359327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 W ROSCOE ST UNIT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571029",
            "telephone_number": "847-287-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571117",
            "telephone_number": "773-935-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 W Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606251913",
            "country_code": "US",
            "telephone_number": "773-935-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 W Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606042992",
            "country_code": "US",
            "telephone_number": "312-427-9555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 S Wabash Ave # 101",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606052372",
            "country_code": "US",
            "telephone_number": "312-662-1904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 W Monroe St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606073390",
            "country_code": "US",
            "telephone_number": "312-600-9998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.