Active NPI
Madison Eye Center LLC
- Ophthalmology Physician
- Madison, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 02003914A
- Legal business name
- MADISON EYE CENTER LLC
- Practice address
- 601 Broadway St
Madison, IN 47250-3362 - Phone
- (502) 883-1015
- Fax
- (502) 883-1019
- NPI assigned
- Jan 26, 2018
- Last updated
- Jan 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad A Haider, DO
- Title
- President
- Phone
- (502) 883-1015
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | ||
| Ophthalmology Physician | 207W00000X | 02003914A | IN | Primary |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | NU |
Addresses
Primary practice location
601 Broadway St
Madison, IN 47250-3362
Mailing address
2932 Breckenridge LN Ste 5
Louisville, KY 40220-1490
Phone (502) 371-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
601 Broadway St
Madison, IN 47250
Phone (502) 883-1015
601 Broadway St
#1
Madison, IN 47250
2932 Breckenridge Ln
Ste 5
Louisville, KY 40220
Phone (502) 371-9703
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516924800000",
"number": "1235637075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2932 BRECKENRIDGE LN STE 5",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402201490",
"telephone_number": "502-371-9700",
"fax_number": "502-540-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BROADWAY ST",
"city": "MADISON",
"state": "IN",
"postal_code": "472503362",
"telephone_number": "502-883-1015",
"fax_number": "502-883-1019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON EYE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-26",
"last_updated": "2018-01-26",
"status": "A",
"authorized_official_last_name": "HAIDER",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-883-1015",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "02003914A",
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.