Organization
MARK H COHN, OD, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK COHN O.D. (DOCTOR)
(425) 746-9914
Entity
Organization
Contact information
Practice address
15650 NE 24TH ST, SUITE B, BELLEVUE, WA 98008-2460
(425) 746-9914
(425) 746-9916
Mailing address
15650 NE 24TH ST, SUITE B, BELLEVUE, WA 98008-2460
(425) 746-9914
(425) 746-9916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 0001034TX
WA
152WC0802X
Corneal and Contact Management Optometrist
OD0001034TX
WA
152WS0006X
Sports Vision Optometrist
OD0001034TX
WA
152WX0102X
Occupational Vision Optometrist
OD0001034TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013423
—
WA
01
—
G000100988
MEDICARE PTAN
WA
Enumeration date
01/14/2010
Last updated
01/14/2010
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