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
55 DORRANCE ST, PROVIDENCE, RI 02903-2221
(401) 861-0220
(401) 861-0079
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
03/05/2020
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