NPI 1871622258 · live from the CMS NPI Registry
Mohammad Ali Haider, D.O.
Ophthalmology in Louisville, KY. National Provider Identifier 1871622258, active.
NPI record
| NPI | 1871622258 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2932 Breckenridge Ln, Suite 5, Louisville, KY 40220 |
| Practice phone | 502-883-1015 |
| Mailing address | 2932 Breckenridge Ln Ste 5, Louisville, KY 40220 |
| Enumerated | March 3, 2007 |
| Last updated | October 5, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | TP117 (KY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Ophthalmology | 207W00000X | 02003914A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.