Provider Demographics
NPI:1609657329
Name:COHEN FASHION OPTICAL, LLC
Entity Type:Organization
Organization Name:COHEN FASHION OPTICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-413-4186
Mailing Address - Street 1:2618 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5012
Mailing Address - Country:US
Mailing Address - Phone:212-666-2615
Mailing Address - Fax:212-400-6255
Practice Address - Street 1:2618 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5012
Practice Address - Country:US
Practice Address - Phone:212-666-2615
Practice Address - Fax:212-400-6255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier