MEDICARE: COHEN'S FASHION OPTICAL

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	:	1346411485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COHEN'S FASHION OPTICAL

Provider Business Mailing Address
First Line	:	520 8TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-6507
Country	:	US
Telephone Number	:	212-729-5300
Fax Number	:	212-729-5382

Provider Business Practice Location Address
First Line	:	681 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-2625
Country	:	US
Telephone Number	:	212-317-0067
Fax Number	:	212-317-9008

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT COHEN
Credential	:	OD
Telephone Number	:	212-729-5300

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	04/20/2008

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Directions to “COHEN'S FASHION OPTICAL ” Practice Location

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