MEDICARE: COHEN FASHION OPTICAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1285567404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COHEN FASHION OPTICAL, LLC

Provider Business Mailing Address
First Line	:	32 W 125TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10027-5385
Country	:	US
Telephone Number	:	212-996-2676
Fax Number	:	212-996-3051

Provider Business Practice Location Address
First Line	:	32 W 125TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10027-5385
Country	:	US
Telephone Number	:	212-996-2676
Fax Number	:	212-996-3051

Authorized Official
Title or Position	:	MGR
Name	:	MARY OSHEA
Credential	:
Telephone Number	:	646-413-4186

Provider Enumeration Date	:	06/06/2026
Last Update Date	:	06/06/2026

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