Organization Active NPI

Anwar Eye Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Moundsville, WV
National Provider Identifier
1447286562
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
01049 Issued in WV
Legal business name
ANWAR EYE CENTER, INC
Practice address
1500 Lafayette Ave
Moundsville, WV 26041-2345
Phone
(304) 845-0908
Fax
(304) 810-0654
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Dr. Mohammad F Anwar, MD
Title
President
Phone
(304) 845-0908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 01049 WV Primary

Addresses

Primary practice location

1500 Lafayette Ave
Moundsville, WV 26041-2345

Mailing address

1500 Lafayette Ave
Moundsville, WV 26041-2345
Phone (304) 845-0908

Other identifiers 4

IdentifierTypeStateIssuer
490001349OtherRR MC
000325896OtherBC/BS MT
0095227004MedicaidWV
0799855MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071009000023 WV Part B Supplier - Ambulatory Surgical Center 2365537180 Practice locations: Moundsville, WV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1447286562",
    "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": "304-810-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LAFAYETTE AVE",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260412345",
            "telephone_number": "304-845-0908",
            "fax_number": "304-810-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANWAR EYE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-845-0908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WV",
            "license": "01049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "490001349",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MT",
            "identifier": "000325896",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095227004",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0799855",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moundsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.