Provider Demographics
NPI:1902035736
Name:KOHEN, AMY LEE (OD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LEE
Last Name:KOHEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 PENNSBURY BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-1610
Mailing Address - Country:US
Mailing Address - Phone:412-913-4516
Mailing Address - Fax:
Practice Address - Street 1:1315 6TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4213
Practice Address - Country:US
Practice Address - Phone:724-843-1870
Practice Address - Fax:724-843-7275
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002235152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist