Provider Demographics
NPI:1033111877
Name:THE BRANDE SAAD GROUP
Entity Type:Organization
Organization Name:THE BRANDE SAAD GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:K
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-944-4011
Mailing Address - Street 1:1213 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-3433
Mailing Address - Country:US
Mailing Address - Phone:814-944-4011
Mailing Address - Fax:814-944-5805
Practice Address - Street 1:1213 13TH AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-3433
Practice Address - Country:US
Practice Address - Phone:814-944-4011
Practice Address - Fax:814-944-5805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE004298152W00000X
PAOEG000688152W00000X
PAOEG002016152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA09958OtherSPECTERA
PA3461OtherDAVIS VISION
PA110393OtherEYEMED VISION CARE
PA1361043OtherBLUE CROSS BLUE SHIELD
PA0009332OtherDORAL DR. JULIA MILANAK
PA396411OtherNVA DR. WILLIAM SAAD
PA0009330OtherDORAL DR. WILLIAM SAAD
PA396409OtherNVA DR. JULIA MILANAK
PAPA04298OtherVBA DR. WILLIAM SAAD
PAPA06984OtherVBA DR. JULIA MILANAK
PA1522724OtherGATEWAY MEDICAL
PA322250OtherUPMC DR. JULIA MILANAK
PA3461OtherDAVIS VISION