Organization Active NPI

Koch Eye Associates LLP

  • Eyewear Supplier
  • Warwick, RI
National Provider Identifier
1689109365
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
KOCH EYE ASSOCIATES LLP
Practice address
615 Greenwich Ave Ste 10
Warwick, RI 02886-1882
Phone
(401) 244-5186
Fax
(401) 396-2393
NPI assigned
May 1, 2017
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CLARIS VISION HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X RI
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X RI
Eyewear Supplier 332H00000X RI Primary

Addresses

Primary practice location

615 Greenwich Ave Ste 10
Warwick, RI 02886-1882

Mailing address

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D2136222Koch Eye Associates615 Greenwich Ave, Warwick, RI 02886Certificate of waiverSep 5, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1689109365",
    "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": "615 GREENWICH AVE STE 10",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861882",
            "telephone_number": "401-244-5186",
            "fax_number": "401-396-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCH EYE ASSOCIATES LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARIS VISION HOLDINGS LLC",
        "enumeration_date": "2017-05-01",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "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": "RI",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.