# 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:** 1801014394
- **Authorized official:** NOAMAN SANNI MD (OWNER)
- **Authorized official phone:** (315) 788-6070

## Contact information

- **Practice address:** 77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
- **Practice address phone:** (315) 287-3638
- **Practice address fax:** (315) 287-3656
- **Mailing address:** 1815 STATE ST, WATERTOWN, NY 13601-9406
- **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 |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 09/12/2013