Organization
KOCH EYE ASSOCIATES
Active
Parent organization
CLARIS VISION HOLDINGS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLARIS VISION HOLDINGS LLC
Authorized official
MARCELLO CELENTANO (CEO)
(774) 320-3040
Entity
Organization
Contact information
Practice address
42 VALLEY RD, MIDDLETOWN, RI 02842-6400
(401) 849-4645
Mailing address
175 PARAMOUNT DR, SUITE 203, RAYNHAM, MA 02767-1065
(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
10/11/2016
Last updated
07/10/2023
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