NPI 1104377621

Koch Eye Associates,llp

Organisation Eyewear Supplier Providence, RI

Practice location

Address: 55 Dorrance St, Providence, RI 02903-2221
Phone: (401) 861-0220
Fax: (401) 861-0079
Mailing address: 51 State Rd, Dartmouth, MA 02747-3319

Authorised official

Name: Corey B Westerfeld
Title: Chief Medical Officer
Phone: (508) 994-1400

Registered specialties (4)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

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Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

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Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

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Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

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Registry record

NPI: 1104377621
Entity type: Organization
NPI issued: 19 Oct 2016
Record last updated: 5 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.