James P. Theroux, O.D.
NPI 1326074972ActiveIndividual· Optometrist· Woonsocket, RI
Optometrist (O.D.) in Woonsocket, Rhode Island, trained at Southern College of Optometry (class of 1987). In 2024 Medicare paid $8,227 for 76 patients, and Part D covered 98 of their prescriptions, 72% of them generic. Glaukos Corporation was the largest of 3 companies reporting payments in 2025, $215.50 in all, mostly food and beverage.
Overview
| NPI | 1326074972 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jun 24, 2006 |
| Last updated in NPPES | Sep 21, 2022 |
| Certified by provider | Sep 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | ODTG00410 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 152 across 8 procedure codes |
| Paid by Medicare | $8,227 |
Part D prescriptions in 2024
| Prescriptions (claims) | 98 · 183 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $8,951 |
| Generic share | 72% of claims |
Education and affiliations
| Medical school | Southern College of Optometry |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Optometry |
Medical group
- Koch Eye Associates LLPWarwick, RI · 28 clinicians
Industry payments (Open Payments)
- 2025$215.50 · 3 payments from 3 companies
- 2024$124.68 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaukos Corporation | $145.95 | 1 |
| Genzyme Corporation | $48.08 | 1 |
| Abbvie Inc. | $21.47 | 1 |
What the 2025 payments were for
- Food and Beverage$215.50 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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