Active NPI
M B Kayani Physician PC
- Eyewear Supplier
- Ogdensburg, NY
National Provider Identifier
1629296116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- M B KAYANI PHYSICIAN PC
- Practice address
- 420 Ford Street
Ogdensburg, NY 13669-1617 - Phone
- (315) 393-7171
- Fax
- (315) 393-2382
- NPI assigned
- Apr 23, 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. Noaman Sanni, MD
- Title
- Owner
- Phone
- (315) 788-6070
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 199713 | NY | |
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
420 Ford Street
Ogdensburg, NY 13669-1617
Mailing address
1815 State St
Watertown, NY 13601-9407
Phone (315) 788-6070
Other names 1
- dba Watertown Eye Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051011000798 | NY | Part B Supplier - Clinic/Group Practice | 7012932833 |
Receives reassigned benefits from 10 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lowville, NY; Potsdam, NY; Ogdensburg, NY; Massena, NY; Gouverneur, NY |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383264000000",
"number": "1629296116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 STATE ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136019407",
"telephone_number": "315-788-6070",
"fax_number": "315-788-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 FORD STREET",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136691617",
"telephone_number": "315-393-7171",
"fax_number": "315-393-2382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M B KAYANI PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2013-11-01",
"status": "A",
"authorized_official_last_name": "SANNI",
"authorized_official_first_name": "NOAMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-788-6070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "199713",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Watertown Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.