Basic Information
| Provider Information | |||||||||
| NPI: | 1205970274 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KOHN | ||||||||
| FirstName: | HAROLD | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 76 SHADY BROOK DR | ||||||||
| Address2: | |||||||||
| City: | LANGHORNE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190478000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159680301 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2300 E LINCOLN HWY | ||||||||
| Address2: | |||||||||
| City: | LANGHORNE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190471824 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157416177 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/16/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | OE-004523-P | PA | Y | Eye and Vision Services Providers | Optometrist |
ID Information
| ID | Type | State | Issuer | Description | 17052 | 01 | PA | SPECTERA | OTHER | 158503 | 01 | PA | CLARITY VISION | OTHER | 4523 | 01 | PA | VBA | OTHER | 36554 | 01 | PA | DAVIS VISION | OTHER | 396459 | 01 | PA | NVA | OTHER | 491280 | 01 | PA | AETNA | OTHER |