Charles H. Coren, OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

NE 793 Issued in NE

Legal business name

CHARLES H. COREN, OD

Practice address

5400 S 56TH St
Suite 7
Lincoln, NE 68516-1889

Phone

(402) 423-0707

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Henry Coren, OD

Title

Owner

Phone

(402) 423-0707

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Optical Delights Doing business as

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1992993216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S 56TH ST",
            "address_2": "SUITE 7",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161889",
            "telephone_number": "402-423-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S 56TH ST",
            "address_2": "SUITE 7",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161889",
            "telephone_number": "402-423-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H. COREN, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "COREN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-423-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NE",
            "license": "NE 793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36334",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025085000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Delights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Eyewear Supplier in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.