Individual provider Active NPI

Kenneth George Haik, MD

  • Ophthalmology Physician
  • Metairie, LA
National Provider Identifier
1700887403
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
013134 Issued in LA
Practice address
2800 Veterans Blvd
Suite 125
Metairie, LA 70002
Phone
(504) 833-5573
Fax
(504) 832-9629
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 013134 LA Primary

Addresses

Primary practice location

2800 Veterans Blvd
Suite 125
Metairie, LA 70002

Mailing address

2800 Veterans Blvd
Suite 125
Metairie, LA 70002
Phone (504) 833-5573

Other identifiers 1

IdentifierTypeStateIssuer
1301400MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pupils Optical LLC Current Accepting new patients
Haik & Terrell, LLC Current Accepting new patients
George M Haik Eye Clinic PastSince Apr 10, 2017 Accepting new patients
University Optical & Contact Past Accepting new patients
Joshua M. Groetsch, MD LLC Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: haik@ht.direct.iopracticeware.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1700887403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 VETERANS BLVD",
            "address_2": "SUITE 125",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-833-5573",
            "fax_number": "504-832-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 VETERANS BLVD",
            "address_2": "SUITE 125",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-833-5573",
            "fax_number": "504-832-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIK",
        "first_name": "KENNETH",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "013134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301400",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.