Provider Demographics
NPI:1982213310
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 1:160 WALT WHITMAN RD STE 1077
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4129
Mailing Address - Country:US
Mailing Address - Phone:631-271-9100
Mailing Address - Fax:631-271-9105
Practice Address - Street 1:160 WALT WHITMAN RD STE 1077
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-4129
Practice Address - Country:US
Practice Address - Phone:631-271-9100
Practice Address - Fax:631-271-9105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier