NPIMap

Organization Active NPI

Koch Eye Associates LLP

  • Eyewear Supplier
  • Johnston, RI
National Provider Identifier
1568534246
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
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
Nov 15, 2006
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 Primary
Optometrist 152W00000X OD299 RI
Corneal and Contact Management Optometrist 152WC0802X OD299 RI

Addresses

Primary practice location

1404 Atwood Ave
Johnston, RI 02919-4841

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
MC00224MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
Koch Eye Associates LLP7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1404 Atwood Ave
Johnston, RI 02919
Phone (401) 943-6000

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1568534246",
    "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": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "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": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "OD299",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "RI",
            "license": "OD299",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC00224",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.