Provider Demographics
NPI:1215109590
Name:BRANDE-SAAD GROUP OF SOMERSET
Entity type:Organization
Organization Name:BRANDE-SAAD GROUP OF SOMERSET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMOLIGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAAD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:814-444-8344
Mailing Address - Street 1:105 W PATRIOT ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-2044
Mailing Address - Country:US
Mailing Address - Phone:814-444-8344
Mailing Address - Fax:814-444-8827
Practice Address - Street 1:105 W PATRIOT ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-2044
Practice Address - Country:US
Practice Address - Phone:814-444-8344
Practice Address - Fax:814-444-8827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4482930001Medicare NSC