NPIMap

Organization Active NPI

South County Physicians and Surgeons Inc - Optical Shope

  • Eyewear Supplier
  • North Kingstown, RI
National Provider Identifier
1649223744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SOUTH COUNTY PHYSICIANS AND SURGEONS INC - OPTICAL SHOPE
Practice address
65 Boston Neck Road
South County Eye Physicians and Surgeons Inc
North Kingstown, RI 02852-5704
Phone
(401) 295-0723
Fax
(401) 295-8870
NPI assigned
May 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

65 Boston Neck Road
South County Eye Physicians and Surgeons Inc
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) 295-0723

Other identifiers 2

IdentifierTypeStateIssuer
0963OtherRINEIGHBORHOOD HEALTH PLAN
9000324MedicaidRI

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649223744",
    "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": "401-295-0723",
            "fax_number": "401-295-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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": "401-295-0723",
            "fax_number": "401-295-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY PHYSICIANS AND SURGEONS INC - OPTICAL SHOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "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": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0963",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000324",
            "state": "RI"
        }
    ],
    "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 Aug 22, 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.