NPIMap

Organization Active NPI

South County Eye Physicians and Surgeons Inc

  • Ophthalmology Physician
  • North Kingstown, RI
National Provider Identifier
1457306151
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SOUTH COUNTY EYE PHYSICIANS AND SURGEONS INC
Practice address
65 Boston Neck Road
North Kingstown, RI 02852-5704
Phone
(401) 294-4506
Fax
(401) 295-8870
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Dr. Thomas J Coghlin, MDNPI 1972530194
Title
President Ceo
Phone
(401) 294-4506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X RI Primary

Addresses

Primary practice location

65 Boston Neck Road
North Kingstown, RI 02852-5704

Mailing address

65 Boston Neck Road
South County Eye Physicians and Surgeons Inc
North Kingstown, RI 02852-5704
Phone (401) 294-4506

Other identifiers 7

IdentifierTypeStateIssuer
4425631OtherAETNA NON HMO
324OtherRIBLUE CROSS BLUE SHIELD
CE6120OtherRAILROAD MEDICARE
SC00221MedicaidRI
0459676OtherAETNA HMO
1998OtherNEIGHBORHOOD HEALTH
R001038OtherTRICARE

National Provider Directory

National Provider Directory

Locations

65 Boston Neck Rd
North Kingstown, RI 02852
Phone (401) 294-4506

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1457306151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BOSTON NECK ROAD",
            "address_2": "SOUTH COUNTY EYE PHYSICIANS AND SURGEONS INC",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525704",
            "telephone_number": "401-294-4506",
            "fax_number": "401-295-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BOSTON NECK ROAD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525704",
            "telephone_number": "401-294-4506",
            "fax_number": "401-295-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY EYE PHYSICIANS AND SURGEONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "COGHLIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "401-294-4506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "4425631",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "324",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE6120",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SC00221",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0459676",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "R001038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.