Individual
DR. ALEXANDER JOSEPH KHAMMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC OPHTHALMOLOGY, MILWAUKEE, WI 53226-4874
(414) 607-5280
(414) 266-2027
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC OPHTHALMOLOGY, MILWAUKEE, WI 53226-4874
(414) 607-5280
(414) 266-2027
Taxonomy
Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
—
IL
207W00000X
Ophthalmology Physician
01058559A
IN
207W00000X
Ophthalmology Physician
036107142
IL
207W00000X
Ophthalmology Physician
Primary
63552
WI
Other
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
Enumeration date
12/21/2005
Last updated
03/02/2024
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