Jawad Haider OD LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010634 Issued in IL

Legal business name

JAWAD HAIDER OD LTD

Practice address

3320 Veterans Dr
Pekin, IL 61554-9317

Phone

(309) 353-4220

Fax

(309) 353-4222

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Jawad Haider, O.D.NPI 1326387457

Title

O.D./Owner

Phone

(309) 353-4220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jawad Haider, O.D.

  • Optometrist
  • Pekin, IL
  • NPI 1326387457
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1154730315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 DORSET CT",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902685",
            "telephone_number": "309-353-4220",
            "fax_number": "309-353-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 VETERANS DR",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615549317",
            "telephone_number": "309-353-4220",
            "fax_number": "309-353-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAWAD HAIDER OD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_title_or_position": "O.D./OWNER",
        "authorized_official_telephone_number": "309-353-4220",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Pekin, IL
• Providers in Pekin, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.