Provider Demographics
NPI:1609049204
Name:COHEN'S FASHION OPTICAL
Entity Type:Organization
Organization Name:COHEN'S FASHION OPTICAL
Other - Org Name:M.A.P. OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:PROTOPAPAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:718-777-7678
Mailing Address - Street 1:2219 31ST ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-2713
Mailing Address - Country:US
Mailing Address - Phone:718-777-7678
Mailing Address - Fax:718-626-6237
Practice Address - Street 1:2219 31ST ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-2713
Practice Address - Country:US
Practice Address - Phone:718-777-7678
Practice Address - Fax:718-626-6237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006601-01152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty