MEDICARE: WALEED ALSADI, O.D., P.C.

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	343900000X	Non-emergency Medical Transport (VAN)
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1649847740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALEED ALSADI, O.D., P.C.

Provider Business Mailing Address
First Line	:	4025 W BELL RD STE 10
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-2748
Country	:	US
Telephone Number	:	602-978-4025
Fax Number	:

Provider Business Practice Location Address
First Line	:	4025 W BELL RD STE 10
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-2748
Country	:	US
Telephone Number	:	602-978-4025
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WALEED ALSADI
Credential	:	OD
Telephone Number	:	602-978-4025

Provider Enumeration Date	:	06/07/2021
Last Update Date	:	05/02/2023

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