NPIMap

Organization Active NPI

Koch Eye Associates, LLP

  • Eyewear Supplier
  • Woonsocket, RI
National Provider Identifier
1720539240
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
KOCH EYE ASSOCIATES, LLP
Practice address
166 Cass Ave Unit 1
Woonsocket, RI 02895-4712
Phone
(401) 769-2511
Fax
(401) 769-7696
NPI assigned
Oct 19, 2016
Last updated
Aug 17, 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 Aug 17, 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 connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary
Optometrist 152W00000X NU
Optician 156FX1800X NU
Ophthalmology Physician 207W00000X NU

Addresses

Primary practice location

166 Cass Ave Unit 1
Woonsocket, RI 02895-4712

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
CC8793OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

375 Metacom Ave
Bristol, RI 02809
Phone (401) 253-2020

900 Warren Ave
Ste 301
East Providence, RI 02914
Phone (401) 330-2480

42 Park Pl
Pawtucket, RI 02860
Phone (401) 722-0081

552 Toll Gate Rd
Warwick, RI 02886

250 Clinton St
Woonsocket, RI 02895

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1720539240",
    "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": "166 CASS AVE UNIT 1",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954712",
            "telephone_number": "401-769-2511",
            "fax_number": "401-769-7696"
        }
    ],
    "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": "2023-08-17",
        "certification_date": "2023-08-17",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC8793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.