Safa F Wagdi MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

5337 Issued in RI

Legal business name

SAFA F WAGDI MD INC

Practice address

1002 Broad St
Suite 7
Central Falls, RI 02863-1500

Phone

(401) 723-0030

Fax

(401) 722-4950

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Safa F Wagdi

Title

President

Phone

(401) 723-0030

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1386816239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 BROAD ST",
            "address_2": "SUITE 7",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028631500",
            "telephone_number": "401-723-0030",
            "fax_number": "401-722-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 BROAD ST",
            "address_2": "SUITE 7",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028631500",
            "telephone_number": "401-723-0030",
            "fax_number": "401-722-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFA F WAGDI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "WAGDI",
        "authorized_official_first_name": "SAFA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-723-0030"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "5337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001671",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIBC",
            "identifier": "1671",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Central Falls, RI
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• Ophthalmology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.