Provider Demographics
NPI:1225891930
Name:WESTIN COHEN OD PLLC
Entity Type:Organization
Organization Name:WESTIN COHEN OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WESTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:774-218-5001
Mailing Address - Street 1:7 CARRIAGE HOUSE DR
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-1358
Mailing Address - Country:US
Mailing Address - Phone:774-218-5001
Mailing Address - Fax:
Practice Address - Street 1:287 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-1850
Practice Address - Country:US
Practice Address - Phone:508-339-6800
Practice Address - Fax:508-339-6700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty