Individual
DR. ELIOT NEIL COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
636 COLUMBIA RD, DORCHESTER, MA 02125-3416
(617) 825-9839
Mailing address
636 COLUMBIA RD, DORCHESTER, MA 02125-3416
(617) 825-9839
(617) 825-6654
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2653
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5658344
AETNA US HEALTHCARE
—
01
—
W16135
HMO BLUE
MA
Enumeration date
10/10/2005
Last updated
01/19/2017
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