Provider Demographics
NPI:1295802221
Name:KAYEN, WILLIAM BARRY (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BARRY
Last Name:KAYEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 5TH AVE
Mailing Address - Street 2:SUITE 705
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5010
Mailing Address - Country:US
Mailing Address - Phone:212-868-2020
Mailing Address - Fax:516-374-3658
Practice Address - Street 1:347 5TH AVE
Practice Address - Street 2:SUITE 705
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5010
Practice Address - Country:US
Practice Address - Phone:212-868-2020
Practice Address - Fax:516-374-3658
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT003826-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
C31381Medicare ID - Type Unspecified
U32477Medicare UPIN