Active NPI
Sayeeda Hadi, OD
- Optometrist
- Deptford, NJ
National Provider Identifier
1053478057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OE008554T
- Practice address
- 1907 Deptford Center Rd Ste 8
Deptford, NJ 08096-5633 - Phone
- (856) 772-1683
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OE008554T | PA | Primary |
Addresses
Primary practice location
1907 Deptford Center Rd Ste 8
Deptford, NJ 08096-5633
Mailing address
11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014504220001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE008554T | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1053478057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVE",
"address_2": "SUITE 6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131370",
"telephone_number": "210-524-6663",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 DEPTFORD CENTER RD STE 8",
"city": "DEPTFORD",
"state": "NJ",
"postal_code": "080965633",
"telephone_number": "856-772-1683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADI",
"first_name": "SAYEEDA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE008554T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014504220001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deptford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.