M F Anwar MD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

011846 Issued in WV

Legal business name

M F ANWAR MD INC

Practice address

190D Main St
Sutton, WV 26601-1345

Phone

(304) 765-5652

Fax

(304) 765-2364

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Farooq Anwar, MD

Title

President

Phone

(304) 845-0908

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1295761534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LAFAYETTE AVE",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260412345",
            "telephone_number": "304-845-0908",
            "fax_number": "304-845-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190D MAIN ST",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266011345",
            "telephone_number": "304-765-5652",
            "fax_number": "304-765-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M F ANWAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "FAROOQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-845-0908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "011846",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095227003",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT BC BS",
            "identifier": "001709499",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "C14866",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Mathew Lough
• Heather Love
• Kristy Ann Lowther
• Ruby Gail Loyd
• Sharetta Lyons
• Eden Bliss Maack
• Kari Ann Maack
• Jennifer Marie Mace
• Marie Ellen Mace
• Colleen I Mahon, CCC-SLP

• Optometrist in Sutton, WV
• Providers in Sutton, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.