Active NPI
Amy L Uddin, OD
- Optometrist
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODTG00667
- Practice address
- 566 Toll Gate Rd
Warwick, RI 02886-2799 - Phone
- (401) 738-4800
- Fax
- (401) 738-8153
- NPI assigned
- Sep 10, 2018
- Last updated
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTG00667 | RI | Primary |
Addresses
Primary practice location
566 Toll Gate Rd
Warwick, RI 02886-2799
Mailing address
566 Toll Gate Rd
Warwick, RI 02886-2799
Phone (401) 738-4800
Other practice location 1
615 Greenwich Ave Ste 10
Warwick, RI 02886-1882
Phone (401) 244-5186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
566 Toll Gate Rd
Warwick, RI 02886-2716
Phone (401) 738-4800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODTG00667 | RI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koch Eye Associates LLP | Optometrist | Current | Accepting new patients |
| Koch Eye Associates, LLP | Optometrist | Current | Accepting new patients |
| Koch Eye Associates LLP | Optometrist | Past | Accepting new patients |
Locations
51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400
2000 Chapel View Blvd
Ste 100
Cranston, RI 02920
Phone (401) 227-4010
1404 Atwood Ave
Johnston, RI 02919
Phone (401) 943-6000
7805 Post Rd
North Kingstown, RI 02852
Phone (401) 294-1010
20 Hampton Way
Ste 1A
Wakefield, RI 02879
Phone (401) 783-7009
566 Toll Gate Rd
Warwick, RI 02886
Phone (401) 732-1180
615 Greenwich Ave
Ste 10
Warwick, RI 02886
Phone (401) 244-5186
166 Cass Ave
Unit 1
Woonsocket, RI 02895
Phone (401) 769-2511
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1205319944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862799",
"telephone_number": "401-738-4800",
"fax_number": "401-738-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862799",
"telephone_number": "401-738-4800",
"fax_number": "401-738-8153"
}
],
"practiceLocations": [
{
"address_1": "615 Greenwich Ave Ste 10",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028861882",
"country_code": "US",
"telephone_number": "401-244-5186",
"fax_number": "401-396-2393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UDDIN",
"first_name": "AMY",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": "ODTG00667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.