M B Kayani Physician PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

M B KAYANI PHYSICIAN PC

Practice address

25 Hospital Dr
Massena, NY 13662-1009

Phone

(315) 705-6508

Fax

(315) 705-6511

NPI assigned

Mar 19, 2013

Organization subpart

Yes

Parent organization

M B KAYANI PHYSICIAN PCAs reported in NPPES

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

Authorized official

Name

Noaman Sanni, MDNPI 1982654901

Title

Owner

Phone

(315) 788-6070

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Watertown Eye Center Doing business as

Tax ID family

Muhammad B Kayani MD PC3 organizations share this tax ID, including this one

Part of

Muhammad B Kayani MD PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Dance and Screen

  • Eyewear Supplier
  • Watertown, NY
  • NPI 1972266310
  NPD tax ID
• M B Kayani Physician PC

  • Eyewear Supplier
  • Potsdam, NY
  • NPI 1316289960
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noaman Sanni, MD

  • Ophthalmology Physician
  • Watertown, NY
  • NPI 1982654901
  NPD (past) Authorized official
• Doris Prashaw, OPHTHALMIC DISPENSER

  • Optician
  • Ogdensburg, NY
  • NPI 1003158692
  NPD (past)

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1043552854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 STATE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019407",
            "telephone_number": "315-788-6070",
            "fax_number": "315-788-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621009",
            "telephone_number": "315-705-6508",
            "fax_number": "315-705-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M B KAYANI PHYSICIAN PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M B KAYANI PHYSICIAN PC",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "SANNI",
        "authorized_official_first_name": "NOAMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-788-6070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03424311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watertown Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Byung S Lim, M.D.
• Krystle Lincoln, CEP
• Elizabeth Marie Logalbo, DO
• Anne Loomis, LICENSED OPTICIAN
• Rebecca Monica Love, LCSW-R
• Jessica Macmillan-Barney, LMT
• Priti V Mandalaywala, MD
• Vijay Kumar S Mandalaywala, M.D.
• Sally Manor, RN
• Taylor Marcellus

• Eyewear Supplier in Massena, NY
• Providers in Massena, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.