NPIMap

Organization Active NPI

Koch Eye Associates LLP

  • Eyewear Supplier
  • Wakefield, RI
National Provider Identifier
1093266512
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
KOCH EYE ASSOCIATES LLP
Practice address
20 Hampton Way
BLDG 1a
Wakefield, RI 02879-2553
Phone
(401) 783-7009
Fax
(401) 789-3909
NPI assigned
Oct 19, 2016
Organization subpart
Yes
Parent organization
CLARIS VISION HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Corey B Westerfeld, MDNPI 1437213618
Title
Chief Medical Officer
Phone
(508) 994-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

20 Hampton Way
BLDG 1a
Wakefield, RI 02879-2553

Mailing address

51 State Rd
Dartmouth, MA 02747-3319
Phone (774) 320-3040

Other identifiers 1

IdentifierTypeStateIssuer
CC8793OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_claris

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1093266512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "774-320-3040",
            "fax_number": "508-910-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HAMPTON WAY",
            "address_2": "BLDG 1A",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792553",
            "telephone_number": "401-783-7009",
            "fax_number": "401-789-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCH EYE ASSOCIATES LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARIS VISION HOLDINGS LLC",
        "enumeration_date": "2016-10-19",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "WESTERFELD",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "508-994-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC8793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.