NPIMap

Organization Active NPI

Koch Eye Associates LLP

  • Ophthalmology Physician
  • Warwick, RI
National Provider Identifier
1194881961
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KOCH EYE ASSOCIATES LLP
Practice address
566 Tollgate Road
Warwick, RI 02886
Phone
(401) 738-4800
Fax
(401) 738-8153
NPI assigned
Dec 28, 2006
Last updated
Jun 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU
Optometrist 152W00000X RI
Ophthalmology Physician 207W00000X RI Primary

Addresses

Primary practice location

566 Tollgate Road
Warwick, RI 02886

Mailing address

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

Other names 1

  • Paul S & D Patricia Koch Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070416000584 RI Part B Supplier - Clinic/Group Practice 1153213921 Receives reassigned benefits from 34 practitioners
Practice locations: Johnston, RI; Woonsocket, RI; Warwick, RI; Wakefield, RI; North Kingstown, RI; Cranston, RI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D1041973Koch Eye Associates566 Tollgate Rd, Warwick, RI 02886Certificate of waiverJun 15, 2027

National Provider Directory

National Provider Directory

Locations

2000 Chapel View Blvd
Ste 100
Cranston, RI 02920
Phone (401) 227-4010

566 Toll Gate Rd
Warwick, RI 02886
Phone (401) 732-1180

566 Toll Gate Rd
#8793
Warwick, RI 02886

166 Cass Ave
Unit 1
Woonsocket, RI 02895
Phone (401) 769-2511

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1194881961",
    "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": "566 TOLLGATE ROAD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-738-4800",
            "fax_number": "401-738-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCH EYE ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "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": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul S & D Patricia Koch",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.