Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366133555 Individual Practitioner Female Practitioner

Dr. Andrea Depoutot , OD

Optometrist • Warwick, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrea Depoutot, OD is a certified Optometrist practicing in Warwick, RI. With approximately 3 years of clinical experience since completing medical education in 2023, Dr. Depoutot delivers high-quality medical care to the local community at 566 TOLL GATE RD.

Dr. Depoutot is affiliated with Koch Eye Associates Llp and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

566 Toll Gate Rd

Warwick, RI 028862716

Telephone 8603310464
Associated Practice Facility / Clinic
🏢 Apple Eyewear, Inc Facility NPI 1720296254

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Warwick, RI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -17.1 yrs vs City Avg
City Avg: 20.1 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
42 Specialists

Practicing in Warwick, RI (280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Depoutot (3 Years) 3 Yrs
Warwick Specialty Average (20.1 Years) 20.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-11-26
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License RI ODTG00761

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License CT 3297

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Koch Eye Associates Llp

566 Toll Gate Rd, Warwick, RI 028862716

Phone: 4017384800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
NPI 1013279496

Doctor of Medicine (M.D.)

NPI 1043704794

Doctor of Optometry

Stephanie Costa , CNP

Nurse Practitioner

NPI 1083101174

Certified Nurse Practitioner

Richard Crute , OPTICIAN

Technician/Technologist - Optician

NPI 1134299381
NPI 1205319944

Doctor of Optometry

NPI 1386961548

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location November 26, 2024

Registered at 566 TOLL GATE RD, WARWICK, RI 028862716 (Tel: 8603310464)

📍
Updated Business Mailing Address November 26, 2024

Registered at 566 TOLL GATE RD, WARWICK, RI 028862716

📍
Updated Practice Location August 01, 2023

Registered at 555 WILLARD AVE, NEWINGTON, CT 061112631 (Tel: 8603310464)

📍
Updated Business Mailing Address August 01, 2023

Registered at 555 WILLARD AVE, NEWINGTON, CT 061112631

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2023

Optometrist (License #3297 in CT)

NPI Profile Active May 17, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2023

Registered at 37 SIMON RD, ENFIELD, CT 060825903 (Tel: 8603310464)

📍
Updated Business Mailing Address May 17, 2023

Registered at 37 SIMON RD, ENFIELD, CT 060825903

👤
Provider Name / Credentials Updated May 17, 2023

Recorded as ANDREA DEPOUTOT, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 17, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366133555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2023
Last Update: November 26, 2024
Sole Proprietor: No

Mailing Address

566 Toll Gate Rd

Warwick, RI 028862716

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.