MEDICARE: SAAD AHMED OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0984	NH
2	152W00000X	Optometrist	OPT5349	MA
3	152W00000X	Optometrist	ODTG00680	RI

General Provider Information

NPI Number	:	1336619550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAAD AHMED OD

Provider Business Mailing Address
First Line	:	87 GRANDVIEW AVE STE B
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06708-2514
Country	:	US
Telephone Number	:	203-465-1424
Fax Number	:	203-465-1481

Provider Business Practice Location Address
First Line	:	55 VILLAGE SQUARE DR STE 24
Second Line	:
City	:	SOUTH KINGSTOWN
State	:	RI
Zip	:	02879-8274
Country	:	US
Telephone Number	:	401-272-2029
Fax Number	:	401-421-5979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2018
Last Update Date	:	03/19/2024

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