KOCH EYE ASSOCIATES,LLP (NPI# 1386195808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386195808 |
| Entity Type | Organization |
| Organization Name | KOCH EYE ASSOCIATES,LLP |
| Practice Address |
1404 Atwood Ave Johnston RI 02919-4841 |
| Mailing Address |
51 State Rd Dartmouth MA 02747-3319 |
| Practice Telephone | 4019436000 |
| Practice Fax Number | 4019436017 |
| 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 |
|---|---|---|---|---|
| 1104377621 | Koch Eye Associates,llp | Optometrist | 55 Dorrance St, Providence, RI 02903-2221 | 2016-10-19 |
| 1720539240 | Koch Eye Associates,llp | Optometrist | 166 Cass Ave Unit 1, Woonsocket, RI 02895-4712 | 2016-10-19 |
| Street Address |
1404 ATWOOD AVE |
| City | JOHNSTON |
| State | RI |
| Zip Code | 02919-4841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154405322 | Michelle Lee Lewis | Optometrist | 1404 Atwood Ave, Johnston, RI 02919-4841 | 2006-10-24 |
| 1609272459 | Koch Eye Associates, LLP | Optometrist | 1404 Atwood Ave, Johnston, RI 02919-4841 | 2014-11-06 |
| 1396094249 | Vania Yip Bae | Optometrist | 1404 Atwood Ave, Johnston, RI 02919-4841 | 2012-09-06 |
| 1568534246 | Koch Eye Associates LLP | Optometrist | 1404 Atwood Ave, Johnston, RI 02919-4841 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659935757 | Cheryl K. D'itri | Massage Therapist | 2051 Plainfield Pike, Johnston, RI 02919 | 2019-04-24 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1659862803 | Michaele Marie Colizza | Massage Therapist | 1524 Atwood Ave Ste 213, Johnston, RI 02919 | 2018-05-23 |
| 1609396613 | Peter Dionisopoulos | Physical Therapist | 12 Industrial Ln, Johnston, RI 02919 | 2017-06-21 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1467735720 | Robert Tortolani | Pharmacist | 1387 Plaindield St., Johnston, RI 02919 | 2011-09-23 |
| 1518288075 | Vito F. Ferri | Internal Medicine | 1539 Atwood Ave., Suite 101, Johnston, RI 02919 | 2010-06-18 |
| 1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
| 1922239995 | Heidi C. O'grady | Physical Therapist | 1529 Atwood Avenue, Suite 202, Johnston, TX 02919 | 2009-08-07 |
| 1184855397 | Holly Batura | Counselor | 1516 Hartford Avenue, Johnston, RI 02919 | 2009-08-05 |
| Find all providers in zip 02919 | ||||
| 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 |
|---|---|---|---|---|
| 1245838481 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Stone Hill Rd, Johnston, RI 02919-4651 | 2020-10-10 |
| 1992996441 | Accu Rx, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Federal Way, Johnston, RI 02919-4637 | 2007-08-08 |
| 1326192766 | Usvision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Hartford Ave, Johnston, RI 02919-7132 | 2007-01-23 |
| 1821163494 | American Eyeglass Center Inc | Eyewear Supplier (Equipment, not the service) | 1365 Hartford Ave, Johnston, RI 02919-7134 | 2006-11-21 |
| 1871543868 | Eye-shop Inc | Eyewear Supplier (Equipment, not the service) | 1524 Atwood Ave, Suite 240, Johnston, RI 02919-3228 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1639219330 | Strand Optical Co. Inc. | Eyewear Supplier (Equipment, not the service) | 815 Oaklawn Ave, Cranston, RI 02920-2823 | 2007-02-08 |
| 1194870436 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 Providence Place Mall, Providence, RI 02903-1747 | 2007-01-25 |
| 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.