M F Anwar MD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

000603 Issued in WV

Legal business name

M F ANWAR MD INC

Practice address

RT 220 South Blackburn Square
Keyser, WV 26726-2512

Phone

(304) 788-5118

Fax

(304) 788-6366

NPI assigned

Jun 30, 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

Practitioners 4

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

• Martin B Gresak, O.D.

  • Corneal and Contact Management Optometrist
  • Morgantown, WV
  • NPI 1417952037
  NPD (past)
• Jill Kristine Showalter, O.D.

  • Optometrist
  • Vienna, WV
  • NPI 1659424877
  NPD (past)
• Joey Matthew Weaver, O.D.

  • Optometrist
  • Vienna, WV
  • NPI 1760414312
  NPD (past)
• Charles Davenport Jr., MD

  • Anesthesiology Physician
  • Metairie, LA
  • NPI 1619918414
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1598794059",
    "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": "RT 220 SOUTH BLACKBURN SQUARE",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262512",
            "telephone_number": "304-788-5118",
            "fax_number": "304-788-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M F ANWAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-02-27",
        "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": "000603",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT BC BS",
            "identifier": "001709499",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095227003",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "C14866",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lora Loya
• William Blondell Ludwick II, DDS
• Caileigh Lupton
• Amanda Lea Lusby
• Cassie Lynch
• Hailey Maistros
• Lorraine S Mangold, MA, CCC-SLP
• Terry S Mangold, OD
• Diann Manns
• Donna Jean Markelewicz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.