Mured Kakar, ABO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

41845 Issued in CA

Practice address

611 San Anselmo Ave
San Anselmo, CA 94960-2615

Phone

(415) 747-8191

NPI assigned

Mar 10, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1033794201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MEADOWSWEET DR",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251721",
            "telephone_number": "415-573-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SAN ANSELMO AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602615",
            "telephone_number": "415-747-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKAR",
        "first_name": "MURED",
        "name_prefix": "Mr.",
        "credential": "ABO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "41845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.