Active NPI
Kyaw Naing, OD
- Optometrist
- Goshen, IN
National Provider Identifier
1982389276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004422A
- Practice address
- 116 W Washington St
Goshen, IN 46526-3729 - Phone
- (574) 533-7345
- NPI assigned
- Jun 15, 2023
- Last updated
- Jun 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004422A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naing Group LLC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.