Active NPI
Kansas Eye Surgery Associates, P.C.
- Specialist
- Latham, NY
National Provider Identifier
1770511776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 226627
- Legal business name
- KANSAS EYE SURGERY ASSOCIATES, P.C.
- Practice address
- 24 Century Hill Dr
Suite 001
Latham, NY 12110-2133 - Phone
- (518) 690-2015
- Fax
- (581) 690-0353
- NPI assigned
- Jun 29, 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. Davie Michael Kwiat, M.D.
- Title
- Physician
- Phone
- (518) 690-2015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 226627 | NY | Primary |
Addresses
Primary practice location
24 Century Hill Dr
Suite 001
Latham, NY 12110-2133
Mailing address
24 Century Hill Dr
Suite 001
Latham, NY 12110-2133
Phone (518) 690-2015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02684013 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Latham, NY
- NPI 1366573545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770511776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CENTURY HILL DR",
"address_2": "SUITE 001",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102133",
"telephone_number": "518-690-2015",
"fax_number": "581-690-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 CENTURY HILL DR",
"address_2": "SUITE 001",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102133",
"telephone_number": "518-690-2015",
"fax_number": "581-690-0353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANSAS EYE SURGERY ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KWIAT",
"authorized_official_first_name": "DAVIE",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "518-690-2015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "226627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02684013",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.