KOCH EYE ASSOCIATES LLP (NPI# 1093266512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093266512 |
| Entity Type | Organization |
| Organization Name | KOCH EYE ASSOCIATES LLP |
| Practice Address |
20 Hampton Way Bldg 1a Wakefield RI 02879-2553 |
| Mailing Address |
51 State Rd Dartmouth MA 02747-3319 |
| Practice Telephone | 4017837009 |
| Practice Fax Number | 4017893909 |
| Mailing Telephone | 7743203040 |
| Mailing Fax Number | 5089102204 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | COREY B WESTERFELD (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 5089941400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CLARIS VISION HOLDINGS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CC8793 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194881961 | Koch Eye Associates LLP | Optometrist | 566 Tollgate Road, Warwick, RI 02886 | 2006-12-28 |
| 1689109365 | Koch Eye Associates LLP | Optometrist | 615 Greenwich Ave Ste 10, Warwick, RI 02886-1882 | 2017-05-01 |
| 1194276618 | Koch Eye Associates LLP | Optometrist | 7805 Post Rd, North Kingstown, RI 02852-4405 | 2016-10-19 |
| 1568534246 | Koch Eye Associates LLP | Optometrist | 1404 Atwood Ave, Johnston, RI 02919-4841 | 2006-11-15 |
| Street Address |
20 HAMPTON WAY BLDG 1A |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619060480 | Barry M Wepman | Ophthalmology | 20 Hampton Way, Bldg #1a, Wakefield, RI 02879-2553 | 2006-10-02 |
| 1609271642 | Koch Eye Associates, LLP | Optometrist | 20 Hampton Way, Building #1a, Wakefield, RI 02879-2553 | 2014-11-04 |
| 1952742934 | Kristen Lee Burns | Optometrist | 20 Hampton Way, Bldg# 1a, Wakefield, RI 02879-2553 | 2013-07-08 |
| 1316030125 | Nicole Fantoni | Optometrist | 20 Hampton Way, Bldg#1a, Wakefield, RI 02879-2553 | 2006-10-02 |
| 1952494759 | Mark Deresienski | Optometrist | 20 Hampton Way, Bldg#1a, Wakefield, RI 02879-2553 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720117765 | The Optical House, Inc | Eyewear Supplier (Equipment, not the service) | 333 North Ave, Wakefield, MA 01880-2300 | 2007-03-05 |
| 1578730644 | North Suburban Eye Associates | Eyewear Supplier (Equipment, not the service) | 699 Main Street, Wakefield, MA 01880 | 2008-05-08 |
| 1801068093 | Dr. Steven M. Kreiger & Assoc., Inc. | Eyewear Supplier (Equipment, not the service) | 133 Main St, Wakefield, RI 02879-3511 | 2008-03-27 |
| 1356529424 | Wakefield Eye Associates | Eyewear Supplier (Equipment, not the service) | 336 Main St, Wakefield, MA 01880-5013 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838481 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Stone Hill Rd, Johnston, RI 02919-4651 | 2020-10-10 |
| 1528675493 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 790 Centre of New England Blvd, Coventry, RI 02816-6083 | 2020-09-25 |
| 1073134052 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 271 Thayer St, Providence, RI 02906-1524 | 2020-05-01 |
| 1255812426 | For Eyes Optical Inc | Eyewear Supplier (Equipment, not the service) | 4000 Chapel View Blvd Unit 135, Cranston, RI 02920-3098 | 2018-08-27 |
| 1508033853 | Bling Eyewear, LLC | Eyewear Supplier (Equipment, not the service) | 2000 Chapel View Blvd Ste 220, Cranston, RI 02920-3091 | 2008-05-14 |
| 1376721936 | Clyde E Haworth Jr | Eyewear Supplier (Equipment, not the service) | 2190 Mendon Road, Cumberland, RI 02864-3805 | 2008-02-06 |
| 1992996441 | Accu Rx, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Federal Way, Johnston, RI 02919-4637 | 2007-08-08 |
| 1871783035 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 15 Commerce St, Greenville, RI 02828-3011 | 2007-07-25 |
| 1255541314 | Mcleod Optical Co Inc | Eyewear Supplier (Equipment, not the service) | 50 Jefferson Park Rd, Warwick, RI 02888-1016 | 2007-05-23 |
| 1043431042 | Double Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1168 Warwick Ave, Warwick, RI 02888 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.