Ron Haddad, OD | |
114 E Reynolds Rd, Lexington, KY 40517-1248 | |
(859) 216-2660 | |
Not Available |
Full Name | Ron Haddad |
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Gender | Male |
Speciality | Optometrist |
Location | 114 E Reynolds Rd, Lexington, 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 |
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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 |
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Ron Haddad, OD 114 E Reynolds Rd, Lexington, KY 40517-1248 Ph: (832) 722-0193 | Ron Haddad, OD 114 E Reynolds Rd, Lexington, KY 40517-1248 Ph: (859) 216-2660 |
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