Paul S & D Patricia Koch | |
566 Tollgate Road, Warwick, RI 02886 | |
(401) 738-4800 | |
(401) 738-8153 |
Full Name | Paul S & D Patricia Koch |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 566 Tollgate Road, Warwick, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194881961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Rhode Island) | Secondary |
207W00000X | Ophthalmology | (Rhode Island) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Provider Name | Earle U Scharff |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982637153 PECOS PAC ID: 6800865742 Enrollment ID: I20040928000932 |
Provider Name | Jane E Ireland |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629032743 PECOS PAC ID: 9335238294 Enrollment ID: I20071130000287 |
Provider Name | Clyde E Haworth |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437232246 PECOS PAC ID: 0042391716 Enrollment ID: I20080118000652 |
Provider Name | Michelle L Lewis |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154405322 PECOS PAC ID: 6800868167 Enrollment ID: I20091116000131 |
Provider Name | Lionel Lemos |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952485393 PECOS PAC ID: 1557400561 Enrollment ID: I20091204000382 |
Provider Name | Michael J O Brien |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1417021940 PECOS PAC ID: 3375679921 Enrollment ID: I20100407000401 |
Provider Name | James P Theroux |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326074972 PECOS PAC ID: 5890825160 Enrollment ID: I20100612000042 |
Provider Name | Ronald O Furman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134287006 PECOS PAC ID: 0648303164 Enrollment ID: I20100804001169 |
Provider Name | Stewart M Rosenfeld |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225097314 PECOS PAC ID: 4183749930 Enrollment ID: I20100916000506 |
Provider Name | Eleftherios J Alexandrou |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912168352 PECOS PAC ID: 7214003029 Enrollment ID: I20101020000414 |
Provider Name | Whitney Lynn Catanio |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568690436 PECOS PAC ID: 0547440513 Enrollment ID: I20110208000572 |
Provider Name | Alex M Gerber |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1114156841 PECOS PAC ID: 2062694722 Enrollment ID: I20110316001058 |
Provider Name | Nicole M Fantoni |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316030125 PECOS PAC ID: 7719153592 Enrollment ID: I20111228000374 |
Provider Name | Richard Sayegh |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1558597245 PECOS PAC ID: 7113187501 Enrollment ID: I20120321000837 |
Provider Name | Tatyana Serednyakova |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1386961548 PECOS PAC ID: 7911147533 Enrollment ID: I20130702000629 |
Provider Name | Kristen L Burns |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952742934 PECOS PAC ID: 2264664218 Enrollment ID: I20140407001127 |
Provider Name | Vinh D Tran |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689128795 PECOS PAC ID: 0244528081 Enrollment ID: I20161012000009 |
Provider Name | Mark D Barsamian |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1821204207 PECOS PAC ID: 3375638265 Enrollment ID: I20170310000448 |
Provider Name | Michael C Santos |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124474317 PECOS PAC ID: 7719264548 Enrollment ID: I20170504001802 |
Provider Name | Nermin Y Graise |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770879298 PECOS PAC ID: 5395962120 Enrollment ID: I20170525000691 |
Provider Name | Amy L Uddin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205319944 PECOS PAC ID: 1355693292 Enrollment ID: I20181004000962 |
Provider Name | Allison M Leblanc |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255568317 PECOS PAC ID: 1951426576 Enrollment ID: I20190201000330 |
Provider Name | Vania Yip Bae |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396094249 PECOS PAC ID: 2769782135 Enrollment ID: I20190625001559 |
Provider Name | Saad Ahmed |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336619550 PECOS PAC ID: 0941535140 Enrollment ID: I20190710002619 |
Provider Name | Jessica Besen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154738433 PECOS PAC ID: 5890005680 Enrollment ID: I20190719001919 |
Provider Name | Sarah Pagliarini |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023535010 PECOS PAC ID: 5395090179 Enrollment ID: I20190809001388 |
Provider Name | Tess Ann Deresienski |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720631211 PECOS PAC ID: 5991034456 Enrollment ID: I20210811000078 |
Provider Name | Leah Lynn Kammerdiener |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1013279496 PECOS PAC ID: 0244539526 Enrollment ID: I20221022000052 |
Provider Name | Teresa Grochowski |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871214544 PECOS PAC ID: 4587040662 Enrollment ID: I20230731003167 |
Provider Name | Laura Tresca |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962175323 PECOS PAC ID: 1456755446 Enrollment ID: I20230828001797 |
Provider Name | Tiffany Nicole Graham |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043704794 PECOS PAC ID: 3870845407 Enrollment ID: I20231212002919 |
Mailing Address | Practice Location Address |
---|---|
Paul S & D Patricia Koch 51 State Rd, Dartmouth, MA 02747-3319 Ph: (774) 320-3040 | Paul S & D Patricia Koch 566 Tollgate Road, Warwick, RI 02886 Ph: (401) 738-4800 |