NPI 1326036385 · live from the CMS NPI Registry
John A. Distler, MD
Ophthalmology in Crestwood, KY. National Provider Identifier 1326036385, active.
NPI record
| NPI | 1326036385 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 6400 Westwind Way, Crestwood, KY 40014 |
| Practice phone | 502-243-2227 |
| Enumerated | October 12, 2005 |
| Last updated | February 20, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | AD1776369 (KY) |
| Ophthalmology primary | 207W00000X | 24245 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.