NPIMap

Organization Active NPI

Bluefield Community Eye Clinic PLLC

  • Ophthalmology Physician
  • Bluefield, WV
National Provider Identifier
1174620231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BLUEFIELD COMMUNITY EYE CLINIC PLLC
Practice address
510 Cherry St
Suite 305
Bluefield, WV 24701-3338
Phone
(304) 325-5711
Fax
(304) 327-1789
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yasier Kanawati, MDNPI 1679514954
Title
President
Phone
(304) 325-5711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

510 Cherry St
Suite 305
Bluefield, WV 24701-3338

Mailing address

510 Cherry St
Suite 305
Bluefield, WV 24701-3338
Phone (304) 325-5711

National Provider Directory

National Provider Directory

Locations

510 Cherry St
Ste 3
Bluefield, WV 24701
Phone (304) 325-5711

510 Cherry St
Ste 305
Bluefield, WV 24701
Phone (304) 325-5711

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174620231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CHERRY ST",
            "address_2": "SUITE 305",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013338",
            "telephone_number": "304-325-5711",
            "fax_number": "304-327-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CHERRY ST",
            "address_2": "SUITE 305",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013338",
            "telephone_number": "304-325-5711",
            "fax_number": "304-327-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEFIELD COMMUNITY EYE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANAWATI",
        "authorized_official_first_name": "YASIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-325-5711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.