# DR. ALEXANDER JOSEPH KHAMMAR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649256512
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1202X | Optometric Technician | — | IL | — |
| 207W00000X | Ophthalmology Physician | 01058559A | IN | — |
| 207W00000X | Ophthalmology Physician | 036107142 | IL | — |
| 207W00000X | Ophthalmology Physician | 63552 | WI | Yes |

## Other

- **Enumeration date:** 12/21/2005
- **Last updated:** 03/02/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01621679 | BC/BS OF IL | IL |
| 05 | — | 036107142 | — | IL |
| 01 | — | 1083684922 | GROUP NPI | IL |
| 05 | — | 1649256512 | — | WI |
| 01 | — | 180046209 | MEDICARE RAILROAD | IL |
| 01 | — | 200815870 | MEDICARE LEGACY PROVIDER NUMBER | IN |
| 01 | — | 200871680A | MEDICAID LOCATION MUNSTER | IN |
| 01 | — | 200871680B | MEDICAID LOCATION CHICAGO RIDGE | IN |
| 01 | — | 200871680C | MEDICAID LOCATION ORLAND PARK | IN |
| 01 | — | 200871680D | MEDICAID LOCATION HINSDALE | IN |
| 01 | — | 205785 | PTAN MEDICARE COOK COUNTY IL | IL |
| 01 | — | 205786 | MEDICARE DUPAGE CO GRP PTAN | IL |
| 01 | — | 253350 | PTAN MEDICARE GROUP PRACTICE | IN |
| 01 | — | DR4230 | MEDICARE RAILROAD DUPAGE CO GROUP PTAN | IL |
| 01 | — | P00932398 | MEDICARE RAILROAD DUPAGE CO INDIVIDUAL PTAN | IL |