Farah S Ikram, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

33872 Issued in KY

Practice address

9700 Park Plaza Ave
Suite 205
Louisville, KY 40241-2236

Phone

(502) 425-3148

Fax

(502) 425-3149

NPI assigned

Sep 14, 2006

Last updated

Jul 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Childrens Eye Specialists PLLC

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1598952293
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1821193533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 PARK PLAZA AVE",
            "address_2": "SUITE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412236",
            "telephone_number": "502-425-3148",
            "fax_number": "502-425-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 PARK PLAZA AVE",
            "address_2": "SUITE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412236",
            "telephone_number": "502-425-3148",
            "fax_number": "502-425-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKRAM",
        "first_name": "FARAH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "33872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6433872600",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50017269",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200259330B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Aaron Ihnen, M.D.
• Kenechi Ijemere
• Diane Etonde Ikome, PHARMD, RPH
• Ruth Ikpe
• Ameenah Sohail Ikram, PSY.D.
• Sohail Ikram, MD
• Ildiko G. Mikos MD, PSC
• Ashley Mefford Iles, M.D.
• Matthew Iles
• Stefan Ilievski, RBT

• Ophthalmology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.