Provider Demographics
NPI:1952092595
Name:COHEN, WESTIN GEORGE (OD)
Entity type:Individual
Prefix:DR
First Name:WESTIN
Middle Name:GEORGE
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 1:7 CARRIAGE HOUSE DR
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-1358
Mailing Address - Country:US
Mailing Address - Phone:774-218-5001
Mailing Address - Fax:
Practice Address - Street 1:287 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-1850
Practice Address - Country:US
Practice Address - Phone:508-339-6800
Practice Address - Fax:508-339-6700
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-16
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTG00739152W00000X
MAOPT5613152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist