Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPC001338 | FL |
NPI | 1154550309 |
---|---|
Provider Name | Dr. Ira Jay Cohen |
First Address | Lake Worth, FL 33467-7336 |
Second Address | Lake Worth, FL 33467-7336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 09/07/2009 |