Organization Active NPI

Malaz Safi, M.D., P.C.

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1255543047
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R9B71 Issued in MO
Legal business name
MALAZ SAFI, M.D., P.C.
Doing business as
ADVANCED EYE CARE CENTER
Practice address
8790 Watson Rd Ste 203
Saint Louis, MO 63119-5140
Phone
(314) 543-2850
Fax
(314) 543-2851
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Malaz Safi, M.D.
Title
Owner
Phone
(314) 543-2850

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X R9B71 MO Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 336-031037 IL

Addresses

Primary practice location

8790 Watson Rd Ste 203
Saint Louis, MO 63119-5140

Mailing address

8790 Watson Rd Ste 203
Saint Louis, MO 63119-5140
Phone (314) 543-2850

Other identifiers 5

IdentifierTypeStateIssuer
500046701MedicaidMO
296746824MedicaidIL
DD3116OtherMORAILROAD MEDICARE
0269280001OtherILNATIONAL GOVERNMENT SERVI
DC5331OtherILRAILROAD MEDICARE

Other names 1

  • ADVANCED EYE CARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

100 N 8th St
Ste 216
East Saint Louis, IL 62201
Phone (618) 271-5900

3535 S Jefferson Ave
Ste 7
Saint Louis, MO 63118
Phone (314) 664-1158

3535 S Jefferson Ave
Ste S7
Saint Louis, MO 63118
Phone (314) 664-1158

8790 Watson Rd
Ste 203
Webster Groves, MO 63119
Phone (314) 543-2850

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1255543047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 WATSON RD STE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195140",
            "telephone_number": "314-543-2850",
            "fax_number": "314-543-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 WATSON RD STE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195140",
            "telephone_number": "314-543-2850",
            "fax_number": "314-543-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAZ SAFI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "SAFI",
        "authorized_official_first_name": "MALAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-543-2850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R9B71",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "336-031037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500046701",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296746824",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD3116",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERNMENT SERVI",
            "identifier": "0269280001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC5331",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED EYE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.