Provider Demographics
NPI:1649201468
Name:COHN VISION ASSOCIATES, INC
Entity Type:Organization
Organization Name:COHN VISION ASSOCIATES, INC
Other - Org Name:RESIDENT EYE CARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:REINIGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-921-5551
Mailing Address - Street 1:500 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-3114
Mailing Address - Country:US
Mailing Address - Phone:610-921-5551
Mailing Address - Fax:610-929-1533
Practice Address - Street 1:500 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-3114
Practice Address - Country:US
Practice Address - Phone:610-921-5551
Practice Address - Fax:610-929-1533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000657152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015710220004Medicaid
PA0015710220004Medicaid