Active NPI
Malaz Safi, M.D., P.C.
- Ophthalmology Physician
- Saint Louis, MO
National Provider Identifier
1255543047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R9B71
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | R9B71 | MO | Primary |
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500046701 | Medicaid | MO | |
| 296746824 | Medicaid | IL | |
| DD3116 | Other | MO | RAILROAD MEDICARE |
| 0269280001 | Other | IL | NATIONAL GOVERNMENT SERVI |
| DC5331 | Other | IL | RAILROAD MEDICARE |
Other names 1
- ADVANCED EYE CARE CENTER
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Saint Louis, MO
- NPI 1528082450
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.