Active NPI
Ron Haddad, OD
- Optometrist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2354DT
- Practice address
- 114 E Reynolds Rd
Lexington, KY 40517-1248 - Phone
- (859) 216-2660
- NPI assigned
- Aug 1, 2023
- Last updated
- Oct 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2354DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Vision Care Professional Limited Liability Company | Optometrist | Current | Accepting new patients |
| Ky Doctors of Optometry, PLLC | Optometrist | Current | 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.
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-
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- NPI 1417384207
-
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- Eyewear Supplier
- Louisville, KY
- NPI 1598849747
Optometrist
-
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- NPI 1699086629
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-
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- Louisville, KY
- NPI 1851523575
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-
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- Louisville, KY
- NPI 1982787776
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.