Provider Demographics
NPI:1295803948
Name:COEN, STACY M (OD)
Entity type:Individual
Prefix:DR
First Name:STACY
Middle Name:M
Last Name:COEN
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Gender:F
Credentials:OD
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Mailing Address - Street 1:83 NEWBURY ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-3284
Mailing Address - Country:US
Mailing Address - Phone:508-658-7448
Mailing Address - Fax:617-902-2558
Practice Address - Street 1:83 NEWBURY ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-3284
Practice Address - Country:US
Practice Address - Phone:508-658-7448
Practice Address - Fax:617-902-2558
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2016-05-16
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Provider Licenses
StateLicense IDTaxonomies
MA4407152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist