Active NPI
Arthur Kenneth Mirwis, OD
- Optometrist
- Bronx, NY
National Provider Identifier
1083780993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NY3382
- Practice address
- 566 West 235TH Street
Bronx, NY 10463-1648 - Phone
- (718) 543-9191
- Fax
- (208) 247-0704
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NY3382 | NY | Primary |
Addresses
Primary practice location
566 West 235TH Street
Bronx, NY 10463-1648
Mailing address
566 West 235TH Street
Bronx, NY 10463-1648
Phone (718) 543-9191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY3382 | NY | MD | Optometrist |
| 003382 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1083780993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 WEST 235TH STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "104631648",
"telephone_number": "718-543-9191",
"fax_number": "208-247-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 WEST 235TH STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "104631648",
"telephone_number": "718-543-9191",
"fax_number": "208-247-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRWIS",
"first_name": "ARTHUR",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "NY3382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.