Provider Demographics
NPI:1205970274
Name:KOHN, HAROLD G (OD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:G
Last Name:KOHN
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 1:76 SHADY BROOK DR
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-8000
Mailing Address - Country:US
Mailing Address - Phone:215-968-0301
Mailing Address - Fax:
Practice Address - Street 1:2300 E LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1824
Practice Address - Country:US
Practice Address - Phone:215-741-6177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE-004523-P152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA17052OtherSPECTERA
PA158503OtherCLARITY VISION
PA4523OtherVBA
PA36554OtherDAVIS VISION
PA396459OtherNVA
PA491280OtherAETNA