Provider Demographics
NPI:1336619550
Name:AHMED, SAAD (OD)
Entity type:Individual
Prefix:
First Name:SAAD
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 GRANDVIEW AVE STE B
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-2514
Mailing Address - Country:US
Mailing Address - Phone:203-465-1424
Mailing Address - Fax:203-465-1481
Practice Address - Street 1:55 VILLAGE SQUARE DR STE 24
Practice Address - Street 2:
Practice Address - City:SOUTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02879-8274
Practice Address - Country:US
Practice Address - Phone:401-272-2029
Practice Address - Fax:401-421-5979
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-30
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0984152W00000X
MAOPT5349152W00000X
RIODTG00680152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty