Individual provider Active NPI

Amy L Uddin, OD

  • Optometrist
  • Warwick, RI
National Provider Identifier
1205319944
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00667 Issued in RI
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181004000962 RI Practitioner - Optometry 1355693292 Reassigns benefits to 1 organization

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
Koch Eye Associates LLPGroup PAC ID 1153213921, 28 clinicians

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

LicenseStateTypeSpecialty
ODTG00667RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Koch Eye Associates LLP Optometrist CurrentSince Nov 1, 2018 Accepting new patients
Koch Eye Associates, LLP Optometrist CurrentSince Nov 1, 2018 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

Verify at the official NPI Registry.