| NPI | 1811235120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD A HAIDER Owner 502-883-1015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2016-06-03 |