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Deactivated NPI 1366582215 Deactivated / Inactive NPI Male Practitioner

Dr. Gary Cohen , OD

Optometrist • Dearborn, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Cohen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 08, 2007
NPI Deactivation Date October 25, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Cohen, OD was a registered Optometrist practicing in Dearborn, MI. Throughout an active medical career spanning 10 years, Dr. Cohen provided care at the practice location at 18900 MICHIGAN AVE until profile deactivation on 2017-10-25.

Historical Medicare Part B clinical services included photography of the retina, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

18900 Michigan Ave
Ste 319

Dearborn, MI 481263929

Telephone 3132717933
Fax 3132718006
Associated Practice Facility / Clinic
🏢 Dcp Of Michigan (Fairlane) Pc Facility NPI 1841261138

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dearborn, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Dearborn, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
28.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
18 18 $120.00 $64.59
92004 New patient complete exam of visual system
14 14 $175.00 $146.56

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901002579

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1679887814

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 25, 2017

Record deactivated on October 25, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 18900 MICHIGAN AVE, STE 319, DEARBORN, MI 481263929 (Tel: 3132717933)

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Updated Business Mailing Address July 08, 2007

Registered at 18900 MICHIGAN AVE, STE 319, DEARBORN, MI 481263929 (Tel: 3132717933)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GARY COHEN, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #4901002579 in MI)

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Initial NPI Registration & Enumeration February 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366582215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2007
Last Update: July 08, 2007
Deactivation Date: October 25, 2017

Mailing Address

18900 Michigan Ave, Ste 319

Dearborn, MI 481263929

Phone: 3132717933

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.