Koch Eye Associates,LLP

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

KOCH EYE ASSOCIATES,LLP

Practice address

1404 Atwood Ave
Johnston, RI 02919-4841

Phone

(401) 943-6000

Fax

(401) 943-6017

NPI assigned

Oct 19, 2016

Organization subpart

Yes

Parent organization

CLARIS VISION HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Corey B Westerfeld, MD

Title

Chief Medical Officer

Phone

(508) 994-1400

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1386195808",
    "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": "1404 ATWOOD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194841",
            "telephone_number": "401-943-6000",
            "fax_number": "401-943-6017"
        }
    ],
    "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": "2020-03-05",
        "certification_date": "2020-03-05",
        "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": []
}

• Lisa Anne Kennedy
• Vivianne J Khalife, D.D.S
• Dena M King, OT
• Koch Eye Associates LLP
• Koch Eye Associates, LLP
• Lalitha Koduri, M.D.
• Bettina Kolker-Cullinane, RN
• Maulik Kotdawala, DMD
• Kevin Kretchman, LCDP, LCDS
• Andrew M Krichak II

• Eyewear Supplier in Johnston, RI
• Providers in Johnston, RI by specialty
• Eyewear Supplier in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.