Healthcare Provider Details

I. General information

NPI: 1447286562
Provider Name (Legal Business Name): ANWAR EYE CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 03/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 LAFAYETTE AVE
MOUNDSVILLE WV
26041-2345
US

IV. Provider business mailing address

1500 LAFAYETTE AVE
MOUNDSVILLE WV
26041-2345
US

V. Phone/Fax

Practice location:
  • Phone: 304-845-0908
  • Fax: 304-810-0654
Mailing address:
  • Phone: 304-845-0908
  • Fax: 304-810-0654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number01049
License Number StateWV

VIII. Authorized Official

Name: DR. MOHAMMAD F ANWAR
Title or Position: PRESIDENT
Credential: MD
Phone: 304-845-0908