Kiyan Optometric

Primary specialty

OptometristTaxonomy code 152W00000X

License

5891T Issued in CA

Legal business name

KIYAN OPTOMETRIC

Practice address

1887 Business Center Dr
Suite 2a
San Bernardino, CA 92408-3463

Phone

(909) 383-1053

Fax

(909) 381-2144

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul A Kiyan, O.D.

Title

Owner

Phone

(909) 383-1053

Specialties & licenses 2

Addresses

Other names 1

• Paul A. Kiyan Other name

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1104078062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 BUSINESS CENTER DR",
            "address_2": "SUITE 2A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083463",
            "telephone_number": "909-383-1053",
            "fax_number": "909-381-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 BUSINESS CENTER DR",
            "address_2": "SUITE 2A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083463",
            "telephone_number": "909-383-1053",
            "fax_number": "909-381-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIYAN OPTOMETRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "KIYAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-383-1053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5891T",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "5891T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul A. Kiyan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Kishner, HAD
• Sood Kisra, MD
• Dora Kissi
• Kristin Kitagawa
• Daniel Steven Kitowski
• Paul Arnold Kiyan, O.D.
• Robert Klacansky
• Adrienne Ann Knabb, M.A.
• Stephaney Knapp
• Brianna Leigh Knight

• Optometrist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.