Shadeed, Nadira Soad
Shadeed, Nadira Soad is an sole proprietor health care provider with primary practice located at 2055 Hamilton Creek Pkwy Ste 120 , Dacula GA 30019-7205. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is her primary health care specialty. Shadeed, Nadira Soad can be contacted via phone (770) 904-0979.Contact Information
Primary practice address
2055 Hamilton Creek Pkwy Ste 120
Dacula GA 30019-7205
Phone: (770) 904-0979
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2355 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1440 | South Carolina |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1440 | South Carolina |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 2355 | Georgia |
Profile Details
| NPI number | 1952411969 |
|---|---|
| LBN Legal business name | Shadeed, Nadira Soad |
| Credentials | O.D., F.C.O.V.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Oct 7th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952411969 | NPPES |
| South Carolina | MEDICAID | D14401 |
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