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	:	1982557864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COHEN FASHION OPTICAL, LLC

Provider Business Mailing Address
First Line	:	5320 DONALD ROSS RD STE 110
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-7275
Country	:	US
Telephone Number	:	646-413-4186
Fax Number	:

Provider Business Practice Location Address
First Line	:	5320 DONALD ROSS RD STE 110
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-7275
Country	:	US
Telephone Number	:	646-413-4186
Fax Number	:

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

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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