Organization Active NPI

Koch Eye Surgicenter, Inc.

Doing business as St. James Surgery Center

  • Ophthalmologic Surgery Clinic/Center
  • Warwick, RI
National Provider Identifier
1942366737
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
FAS101016 Issued in RI
Legal business name
KOCH EYE SURGICENTER, INC.
Doing business as
St. James Surgery Center
Practice address
444 Quaker LN
Warwick, RI 02886-0103
Phone
(401) 384-6537
Fax
(401) 384-6541
NPI assigned
Dec 28, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Mr. Peter A Koch
Title
Ceo
Phone
(401) 738-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X FAS101016 RI Primary

Addresses

Primary practice location

444 Quaker LN
Warwick, RI 02886-0103

Mailing address

566 Toll Gate Rd
Warwick, RI 02886-2716
Phone (401) 738-4800

Other names 1

  • St. James Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

566 Toll Gate Rd
Warwick, RI 02886
Phone (401) 732-1180

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1942366737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862716",
            "telephone_number": "401-738-4800",
            "fax_number": "401-738-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 QUAKER LN",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028860103",
            "telephone_number": "401-384-6537",
            "fax_number": "401-384-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCH EYE SURGICENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-738-4800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "RI",
            "license": "FAS101016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. James Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 18, 2008; 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.