Organization Active NPI

Waleed Alsadi, O.D., P.C.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1649847740
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WALEED ALSADI, O.D., P.C.
Practice address
4025 W Bell Rd Ste 10
Phoenix, AZ 85053-2748
Phone
(602) 978-4025
NPI assigned
Jun 7, 2021
Organization subpart
Yes
Parent organization
WALEED ALSADI, O.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Waleed Alsadi, ODNPI 1730531443
Title
Owner
Phone
(602) 978-4025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

4025 W Bell Rd Ste 10
Phoenix, AZ 85053-2748

Mailing address

4025 W Bell Rd Ste 10
Phoenix, AZ 85053-2748
Phone (602) 978-4025

Other names 1

  • Advanced Eye Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dralsadi@aeccenteraz.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210729003420 AZ Part B Supplier - Clinic/Group Practice 1052714953 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory
Part of
Waleed Alsadi OD PC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1649847740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD STE 10",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532748",
            "telephone_number": "602-978-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD STE 10",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532748",
            "telephone_number": "602-978-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALEED ALSADI, O.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALEED ALSADI, O.D., P.C.",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "ALSADI",
        "authorized_official_first_name": "WALEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-978-4025",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dralsadi@aeccenteraz.com",
            "affiliation": "N",
            "address_1": "4025 W Bell Rd Ste 10",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850532748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.