Provider Demographics
NPI:1295817609
Name:1960 EYE SURGEONS, P.A.
Entity Type:Organization
Organization Name:1960 EYE SURGEONS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-890-1784
Mailing Address - Street 1:13333 DOTSON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4305
Mailing Address - Country:US
Mailing Address - Phone:281-890-1784
Mailing Address - Fax:281-890-5733
Practice Address - Street 1:13333 DOTSON RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4305
Practice Address - Country:US
Practice Address - Phone:281-890-1784
Practice Address - Fax:281-890-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2607764OtherAETNA PPO
TX0054EROtherBC/BS OF TEXAS
CH3776OtherRR MEDICARE
TX081427901Medicaid
TX2567943OtherAETNA HMO