Organization
KOCH EYE ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY B WESTERFELD MD (CHIEF MEDICAL OFFICER)
(508) 994-1400
Entity
Organization
Contact information
Practice address
1404 ATWOOD AVE, JOHNSTON, RI 02919-4841
(401) 943-6000
(401) 943-6017
Mailing address
51 STATE RD, DARTMOUTH, MA 02747-3319
(774) 320-3040
(508) 910-2204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD299
RI
152WC0802X
Corneal and Contact Management Optometrist
OD299
RI
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC00224
—
RI
Enumeration date
11/15/2006
Last updated
07/10/2023
Update your record
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