| Ron Haddad, OD | |
|
7945 Bardstown Rd, Louisville, KY 40291-3437 | |
| (502) 231-4061 | |
| Not Available |
| Full Name | Ron Haddad |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 7945 Bardstown Rd, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952083958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2354DT (Kentucky) | Primary |
| Provider Name | Ky Doctors Of Optometry Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700890001 PECOS PAC ID: 0941108732 Enrollment ID: O20031231000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Ron Haddad, OD 7945 Bardstown Rd, Louisville, KY 40291-3437 Ph: () - | Ron Haddad, OD 7945 Bardstown Rd, Louisville, KY 40291-3437 Ph: (502) 231-4061 |
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