Dr James P Theroux, OD - Medicare Optometrist in Woonsocket, RI

Dr James P Theroux, OD is a medicare enrolled "Optometrist" provider in Woonsocket, Rhode Island. He went to Southern College Of Optometry and graduated in 1987 and has 37 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Koch Eye Associates Llp and his current practice location is 166 Cass Ave, Woonsocket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 769-2511.

Dr James P Theroux is licensed to practice in Rhode Island (license number ODTG00410) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326074972.

Contact Information

Dr James P Theroux, OD
166 Cass Ave,
Woonsocket, RI 02895-4712
(401) 769-2511
(401) 769-7696

Map and Direction




Healthcare Provider's Profile

Full NameDr James P Theroux
GenderMale
SpecialityOptometry
Experience37 Years
Location166 Cass Ave, Woonsocket, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James P Theroux attended and graduated from Southern College Of Optometry in 1987
  NPI Data:
  • NPI Number: 1326074972
  • Provider Enumeration Date: 06/24/2006
  • Last Update Date: 09/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5890825160
  • Enrollment ID: I20100612000042

Medical Identifiers

Medical identifiers for Dr James P Theroux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326074972NPI-NPPES
7000260MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist ODTG00410 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Koch Eye Associates Llp115321392126

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James P Theroux allows following entities to bill medicare on his behalf.
Provider NameKoch Eye Associates Llp
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1194881961
PECOS PAC ID: 1153213921
Enrollment ID: O20070416000584
Provider NameEye Health Associates Of Rhode Island Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1124370176
PECOS PAC ID: 7618129263
Enrollment ID: O20121206000381

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James P Theroux is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James P Theroux, OD
166 Cass Ave Unit 1,
Woonsocket, RI 02895-4712

Ph: (401) 769-2511
Dr James P Theroux, OD
166 Cass Ave,
Woonsocket, RI 02895-4712

Ph: (401) 769-2511

Reviews and Comments


Optometrist in Woonsocket, RI

Joseph Louis Rowey, O.D.
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Medicare: Medicare Enrolled
Practice Location: 148 Social St, Woonsocket, RI 02895
Phone: 401-769-2755    Fax: 401-765-6091
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Practice Location: 2345 Mendon Rd, Woonsocket, RI 02895
Phone: 401-765-5430    Fax: 401-765-8175
Dr. Brian Patrick Kiley, OD
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Medicare: Accepting Medicare Assignments
Practice Location: 2345 Mendon Rd, Woonsocket, RI 02895
Phone: 401-765-5430    Fax: 401-765-5430
Paul S & D Patricia Koch Ptr
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Medicare: Not Enrolled in Medicare
Practice Location: 166 Cass Ave, Unit 1, Woonsocket, RI 02895
Phone: 401-769-2511    
Blackstone Valley Eye Care, P.c.
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Medicare: Medicare Enrolled
Practice Location: 385 Mendon Rd, Woonsocket, RI 02895
Phone: 401-762-4473    
Vision Associates Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 148 Social St, Woonsocket, RI 02895
Phone: 401-769-2755    Fax: 401-229-6386

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.