Provider Demographics
NPI:1841528049
Name:SADDIC, HANI F (ABOC/ NCLEC)
Entity type:Individual
Prefix:
First Name:HANI
Middle Name:F
Last Name:SADDIC
Suffix:
Gender:M
Credentials:ABOC/ NCLEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5311 NORTHFIELD RD STE 6
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-1135
Mailing Address - Country:US
Mailing Address - Phone:216-662-1160
Mailing Address - Fax:216-662-1161
Practice Address - Street 1:5311 NORTHFIELD RD STE 6
Practice Address - Street 2:
Practice Address - City:BEDFORD HTS
Practice Address - State:OH
Practice Address - Zip Code:44146-1135
Practice Address - Country:US
Practice Address - Phone:216-662-1160
Practice Address - Fax:216-662-1161
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-27
Last Update Date:2009-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6292SC156FC0801X, 156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter