Provider Demographics
NPI:1124157896
Name:COHEN, RACHEL (OD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:DOBBS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:12409 MCALLISTER PARK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2495
Mailing Address - Country:US
Mailing Address - Phone:704-752-3727
Mailing Address - Fax:
Practice Address - Street 1:12409 MCALLISTER PARK DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2495
Practice Address - Country:US
Practice Address - Phone:704-752-3727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1220152W00000X
NC1888152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist