Active NPI
Kian M Kaz MD Eye Physician & Surgeon PC
- Ophthalmology Physician
- Newport News, VA
National Provider Identifier
1902899255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101058286
- Legal business name
- KIAN M KAZ MD EYE PHYSICIAN & SURGEON PC
- Practice address
- 12690 McManus Blvd
Newport News, VA 23602-4433 - Phone
- (757) 875-7700
- Fax
- (757) 875-7721
- NPI assigned
- Aug 23, 2005
- 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. Kian Monica Kaz, MD
- Title
- Owner/President
- Phone
- (757) 875-7700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101058286 | VA | Primary |
Addresses
Primary practice location
12690 McManus Blvd
Newport News, VA 23602-4433
Mailing address
12690 McManus Blvd
Newport News, VA 23602-4433
Phone (757) 875-7700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006305750 | Medicaid | VA | |
| 464665 | Other | VA | MAMSI |
| 026179 | Other | VA | CIGNA |
| 117671 | Other | VA | ANTHEM BCBS |
| 52357 | Other | VA | OPTIMA HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Newport News, VA
- NPI 1588657837
-
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1033349741
-
- Ophthalmology Physician
- Newport News, VA
- NPI 1952367195
-
- Ophthalmology Physician
- Cookeville, TN
- NPI 1568501716
-
- Ophthalmology Physician
- Kennesaw, GA
- NPI 1205097920
-
- Ophthalmology Physician
- Frederick, MD
- NPI 1598714909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220486400000",
"number": "1902899255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12690 MCMANUS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236024433",
"telephone_number": "757-875-7700",
"fax_number": "757-875-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12690 MCMANUS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236024433",
"telephone_number": "757-875-7700",
"fax_number": "757-875-7721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIAN M KAZ MD EYE PHYSICIAN & SURGEON PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-23",
"last_updated": "2008-09-04",
"status": "A",
"authorized_official_last_name": "KAZ",
"authorized_official_first_name": "KIAN",
"authorized_official_middle_name": "MONICA",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "757-875-7700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101058286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006305750",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "464665",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "026179",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "117671",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "52357",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.