Provider Demographics
NPI:1013986181
Name:COHEN, BARRY (OD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:COHEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 E CARSON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1836
Mailing Address - Country:US
Mailing Address - Phone:412-431-5300
Mailing Address - Fax:412-431-5315
Practice Address - Street 1:1900 E CARSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1836
Practice Address - Country:US
Practice Address - Phone:412-431-5300
Practice Address - Fax:412-431-5315
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000538152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP01082466OtherRAILROAD MEDICARE
PAT29781Medicare UPIN
PA039269Medicare ID - Type Unspecified
PA039269Medicare PIN
PA0298060001Medicare NSC