Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andrea Depoutot, OD

Individual provider Optometrist · NPI 1366133555

Dr. Andrea Depoutot, OD is an Optometry in Warwick, Rhode Island. Qualified in 2023, 3 years ago. Practices with Koch Eye Associates LLP, a 28-clinician group and accepts Medicare assignment. Licensed in Connecticut and Rhode Island.

Years since qualifying
3
Licensed in
CT, RI
In the registry since
2023
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

566 Toll Gate Rd
Warwick, RI 02886-2716
Phone: (860) 331-0464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODTG00761 (RI)
Optometrist Taxonomy 152W00000X · Licence 3297 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366133555
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 17, 2023
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Koch Eye Associates Llp — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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