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Organization

KOCH EYE ASSOCIATES LLP

Active
Parent organization
CLARIS VISION HOLDINGS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLARIS VISION HOLDINGS LLC
Authorized official
COREY B WESTERFELD MD (CHIEF MEDICAL OFFICER)
(508) 994-1400
Entity
Organization

Contact information

Practice address
20 HAMPTON WAY, BLDG 1A, WAKEFIELD, RI 02879-2553
(401) 783-7009
(401) 789-3909
Mailing address
51 STATE RD, DARTMOUTH, MA 02747-3319
(774) 320-3040
(508) 910-2204

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
156FX1800X
Optician
207W00000X
Ophthalmology Physician
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CC8793
RAILROAD MEDICARE
Enumeration date
10/19/2016
Last updated
02/06/2025
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