Provider Demographics
NPI:1588554968
Name:ALI, SADIA (OD)
Entity type:Individual
Prefix:DR
First Name:SADIA
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SADIA
Other - Middle Name:
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:4643 CROCKER WOODS LN
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5113
Mailing Address - Country:US
Mailing Address - Phone:215-867-0094
Mailing Address - Fax:
Practice Address - Street 1:446 HOWE AVE
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-4957
Practice Address - Country:US
Practice Address - Phone:234-226-6158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.007418152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist