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NPI 1497017867 · live from the CMS NPI Registry

Janelle Marie Fassbender Adeniran, M.D.

Ophthalmology in Louisville, KY. National Provider Identifier 1497017867, active.

NPI record

NPI1497017867 Type 1 · individual
StatusActive
Primary specialtyOphthalmology 207W00000X
Practice location1935 Bluegrass Ave Ste 200, Louisville, KY 40215
Practice phone502-364-0033
EnumeratedJune 12, 2012
Last updatedAugust 20, 2020
Sole proprietorYes
Other namesJanelle Fassbender

Taxonomies and licenses

TaxonomyCodeLicense
Ophthalmology207W00000X01080878A (IN)
Ophthalmology, Retina Specialist207WX0107X49029 (KY)
Ophthalmology, Retina Specialist207WX0107X01080878A (IN)
Ophthalmology primary207W00000X49029 (KY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.