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General NPI Number Information
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NPI Number | 1629047956
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Entity Type | Individual
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Provider Name | GREGORY LEE COHEN MD
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 3610 SHIRE BLVD STE 208
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City | RICHARDSON
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State | TX
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Zip | 75082-2239
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Country | US
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Telephone | 214-983-2020
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Fax | 972-769-5740
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Provider Business Mailing Address
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Address Line | 2858 N BELT LINE RD STE 200
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City | SUNNYVALE
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State | TX
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Zip | 75182-9382
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Country | US
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Telephone | 972-285-8966
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Fax | 972-285-8966
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 24403
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 8928
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | U1653
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License Number State | TX
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