| Dr John A Distler, MD | |
|
6400 Westwind Way, Crestwood, KY 40014-6773 | |
| (502) 243-2227 | |
| (502) 243-2237 |
| Full Name | Dr John A Distler |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 6400 Westwind Way, Crestwood, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326036385 | NPI | - | NPPES |
| 180033886 | Other | KY | MEDICARE RAILROAD |
| 1177630003 | Other | KY | MEDICARE DME MAC |
| 64242456 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | AD1776369 (Kentucky) | Secondary |
| 207W00000X | Ophthalmology | 24245 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John A Distler, MD 6400 Westwind Way, Crestwood, KY 40014-6773 Ph: (502) 243-2227 | Dr John A Distler, MD 6400 Westwind Way, Crestwood, KY 40014-6773 Ph: (502) 243-2227 |
Dr. Bryan M Blair, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6400 Westwind Way, Crestwood, KY 40014 Phone: 502-243-2227 Fax: 502-243-2237 | |
Dr. Anne Chadburn Huntington, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6400 Westwind Way, Crestwood, KY 40014 Phone: 502-243-2227 Fax: 502-343-2237 |