Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FC0801X | Contact Lens Fitter | 6292SC | OH |
Y | 156FX1800X | Optician | 6292SC | OH |
NPI | 1841528049 |
---|---|
Provider Name | Hani F Saddic |
First Address | Bedford Hts, OH 44146-1135 |
Second Address | Bedford Hts, OH 44146-1135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2009 |
Last Update Date | 27/11/2009 |