Healthcare Provider Details

I. General information

NPI: 1003139916
Provider Name (Legal Business Name): OPTI-VISION 4U INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2010
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5287 NORTHFIELD RD
BEDFORD HTS OH
44146-1131
US

IV. Provider business mailing address

5287 NORTHFIELD RD
BEDFORD HTS OH
44146-1131
US

V. Phone/Fax

Practice location:
  • Phone: 216-662-1160
  • Fax: 888-205-1472
Mailing address:
  • Phone: 216-662-1160
  • Fax: 888-205-1472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License NumberSC4789
License Number StateOH

VIII. Authorized Official

Name: HANI SADDIC
Title or Position: OWNER
Credential: ABOC/ NACLC
Phone: 216-712-9591