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NPI Code Detail

MEDICARE: EMILY MIN COAN OD

MEDICARE: EMILY MIN COAN OD
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
1152W00000XOptometrist3081MD
2152W00000XOptometrist36171CA
3152W00000XOptometrist8414MA

General Provider Information

NPI Number : 1679460240
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MIN COAN OD
Provider Business Mailing Address
First Line : 150 S HUNTINGTON AVE
Second Line :
City : BOSTON
State : MA
Zip : 02130-4817
Country : US
Telephone Number : 857-364-5796
Fax Number :
Provider Business Practice Location Address
First Line : 150 S HUNTINGTON AVE
Second Line :
City : BOSTON
State : MA
Zip : 02130-4817
Country : US
Telephone Number : 857-364-5796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2025
Last Update Date : 06/13/2026

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Directions to “ EMILY MIN COAN OD” Practice Location

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