My Vision Care Professional Limited Liability Company

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MY VISION CARE PROFESSIONAL LIMITED LIABILITY COMPANY

Practice address

114 E Reynolds Rd
Lexington, KY 40517-1248

Phone

(832) 722-0193

NPI assigned

May 29, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ron HaddadNPI 1952083958

Title

Admin

Phone

(832) 722-0193

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ron Haddad, OD

  • Optometrist
  • Lexington, KY
  • NPI 1952083958
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1144060815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E REYNOLDS RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171248",
            "telephone_number": "832-722-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E REYNOLDS RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171248",
            "telephone_number": "832-722-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY VISION CARE PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "832-722-0193"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Mutiso, APRN
• Justyn Muzic, CRNA
• Jason Muzzillo, LCSW
• Valessa St. Pierre Mwanjawala, PSY.D.
• Grace Mwine, RBT
• Adria B Myers, APRN
• Amber Myers
• Beth Renee Myers, LPCA
• Emily Jean Myers
• Katherine Anna Myers, KCSA, CSFA, CST

• Optometrist in Lexington, KY
• Providers in Lexington, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.