# M B KAYANI PHYSICIAN PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dba Watertown Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417907346
- **Authorized official:** MRS. JOEDY E. MULLER (BILLING MANAGER)
- **Authorized official phone:** (315) 681-4320

## Contact information

- **Practice address:** 1815 STATE ST, WATERTOWN, NY 13601-9407
- **Practice address phone:** (315) 788-6070
- **Practice address fax:** (315) 788-1950
- **Mailing address:** 1815 STATE ST, WATERTOWN, NY 13601-9407
- **Mailing address phone:** (315) 788-6070
- **Mailing address fax:** (315) 788-1950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 199713 | NY | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 11/21/2013