Active NPI
Koch Eye Surgicenter, Inc.
Doing business as St. James Surgery Center
- Ophthalmologic Surgery Clinic/Center
- Warwick, RI
National Provider Identifier
1942366737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- FAS101016
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Warwick, RI
- NPI 1538125414
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.