Wissam Haddad, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

011174 Issued in NY

Practice address

2810 Sheridan Dr
Tonawanda, NY 14150-9419

Phone

(716) 834-6000

Fax

(716) 834-3245

NPI assigned

Jun 18, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Vision Optometry PCGroup PAC ID 2365848165, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Care Vision Optometry P.C.

  • Optometrist
  • Staten Island, NY
  • NPI 1851983654
  Medicare reassignment Care Compare group
• America'S Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Tonawanda, NY
  • NPI 1144251844
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1063309631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ATHENS BLVD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142231601",
            "telephone_number": "716-515-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509419",
            "telephone_number": "716-834-6000",
            "fax_number": "716-834-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "WISSAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Gula, MS OTR/L
• Kathleen Gullo
• Alexander Gustafik, M.S.
• Nancy Lynne Haas, LPN
• Mackenzie Hadaway, RN
• Paul James Hagen, D.C.
• Bailey Cooper Haines, DDS
• Shelby Miranda Hall, PA-C
• Tara Lynn Halliwell-Kemp, DDS, MD
• Raymond John Hammel, PT DPT

• Optometrist in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.