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NPI Code Detail

MEDICARE: DR. MICHAEL J COHN OPTOMETRIST

MEDICARE: DR. MICHAEL J COHN OPTOMETRIST
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
1152W00000XOptometrist2658MA
2152W00000XOptometrist02658MA

General Provider Information

NPI Number : 1548377393
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL J COHN OPTOMETRIST
Provider Business Mailing Address
First Line : 48 AUBURN STREET
Second Line : MICHAEL J COHN O.D.
City : AUBURN
State : MA
Zip : 01501
Country : US
Telephone Number : 508-832-9392
Fax Number : 508-832-2497
Provider Business Practice Location Address
First Line : 48 AUBURN ST
Second Line :
City : AUBURN
State : MA
Zip : 01501-2438
Country : US
Telephone Number : 508-832-9392
Fax Number : 508-832-2497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 06/03/2010

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