Organization Active NPI

M F Anwar MD Inc

  • Optometrist
  • Point Pleasant, WV
National Provider Identifier
1073549598
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000605 Issued in WV
Legal business name
M F ANWAR MD INC
Practice address
626 Main St
Point Pleasant, WV 25550-1121
Phone
(304) 675-4300
Fax
(304) 675-4306
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. Mohammad Farooq Anwar, MD
Title
Billing Office
Phone
(304) 845-0908

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 000605 WV Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

626 Main St
Point Pleasant, WV 25550-1121

Mailing address

1500 Lafayette Ave
Moundsville, WV 26041-2345
Phone (304) 845-0908

Other identifiers 4

IdentifierTypeStateIssuer
0102141MedicaidOH
001709499OtherWVMT BC BS
0095227003MedicaidWV
C14866OtherRR MC

National Provider Directory

National Provider Directory

Locations

626 Main St
Pt Pleasant, WV 25550
Phone (304) 675-4300

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1073549598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LAFAYETTE AVE",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260412345",
            "telephone_number": "304-845-0908",
            "fax_number": "304-845-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MAIN ST",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501121",
            "telephone_number": "304-675-4300",
            "fax_number": "304-675-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M F ANWAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "FAROOQ",
        "authorized_official_title_or_position": "BILLING OFFICE",
        "authorized_official_telephone_number": "304-845-0908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "000605",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102141",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT BC BS",
            "identifier": "001709499",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095227003",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "C14866",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.