Individual provider Active NPI

Kyaw Naing, OD

  • Optometrist
  • Goshen, IN
National Provider Identifier
1982389276
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004422A Issued in IN
Practice address
116 W Washington St
Goshen, IN 46526-3729
Phone
(574) 533-7345
NPI assigned
Jun 15, 2023
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004422A IN Primary

Addresses

Primary practice location

116 W Washington St
Goshen, IN 46526-3729

Mailing address

2428 Redspire Blvd
Goshen, IN 46526-1559
Phone (415) 335-5479

Other practice location 1

6501 Grape Rd
Mishawaka, IN 46545-1007
Phone (574) 277-1176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824002250 IN Practitioner - Optometry 9436512308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004422AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Naing Group LLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients

Locations

6501 Grape Rd
Mishawaka, IN 46545
Phone (219) 243-2384

2054 E Ireland Rd
South Bend, IN 46614
Phone (574) 401-8142

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1982389276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 REDSPIRE BLVD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261559",
            "telephone_number": "415-335-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W WASHINGTON ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263729",
            "telephone_number": "574-533-7345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 Grape Rd",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465451007",
            "country_code": "US",
            "telephone_number": "574-277-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAING",
        "first_name": "KYAW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004422A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.