Individual provider Active NPI

Ron Haddad, OD

  • Optometrist
  • Lexington, KY
National Provider Identifier
1952083958
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2354DT Issued in KY
Practice address
114 E Reynolds Rd
Lexington, KY 40517-1248
Phone
(859) 216-2660
NPI assigned
Aug 1, 2023
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2354DT KY Primary

Addresses

Primary practice location

114 E Reynolds Rd
Lexington, KY 40517-1248

Mailing address

114 E Reynolds Rd
Lexington, KY 40517-1248
Phone (832) 722-0193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230822000882 KY Practitioner - Optometry 5597127654 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2354DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
My Vision Care Professional Limited Liability Company Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients

Locations

500 Winchester Ave
Ste 180
Ashland, KY 41101

1609 N Dixie Ave
Ste 1000
Elizabethtown, KY 42701

111 Jett Blvd
Ste 100
Frankfort, KY 40601
Phone (502) 695-6310

450 Connector Rd
Georgetown, KY 40324
Phone (317) 752-1355

114 E Reynolds Rd
Lexington, KY 40517
Phone (606) 272-2449

2312 Sir Barton Way
Ste 170
Lexington, KY 40509
Phone (859) 543-8383

3695 Nicholasville Rd
Ste 150
Lexington, KY 40503
Phone (859) 273-4443

100 W Market St
Louisville, KY 40202
Phone (502) 587-8488

1001 Breckenridge Ln
Louisville, KY 40207
Phone (502) 893-2015

13210 Shelbyville Rd
Ste 101
Louisville, KY 40223
Phone (502) 244-9198

3571 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-7323

4655 Outer Loop
Louisville, KY 40219
Phone (502) 966-2020

5224 Dixie Hwy
Louisville, KY 40216
Phone (502) 449-2080

7945 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-4061

2115 Lantern Ridge Dr
Ste U500
Richmond, KY 40475
Phone (859) 625-1004

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1952083958",
    "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": "859-216-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "RON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2354DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.