Active NPI
Anwar Eye Center, Inc
- Ambulatory Surgical Clinic/Center
- Moundsville, WV
National Provider Identifier
1447286562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 01049
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490001349 | Other | RR MC | |
| 000325896 | Other | BC/BS MT | |
| 0095227004 | Medicaid | WV | |
| 0799855 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071009000023 | WV | Part B Supplier - Ambulatory Surgical Center | 2365537180 | Practice locations: Moundsville, WV |
National Provider Directory
National Provider DirectoryNPI 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.