Provider Demographics
NPI:1407967375
Name:COHEN, HOWELL WARREN (OD)
Entity Type:Individual
Prefix:
First Name:HOWELL
Middle Name:WARREN
Last Name:COHEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 W BOYNTON BEACH BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-3649
Mailing Address - Country:US
Mailing Address - Phone:561-738-1700
Mailing Address - Fax:561-738-9446
Practice Address - Street 1:706 W BOYNTON BEACH BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3649
Practice Address - Country:US
Practice Address - Phone:561-738-1700
Practice Address - Fax:561-738-9446
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL2025152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19143Medicare ID - Type Unspecified
FLT54792Medicare UPIN