Provider Demographics
NPI:1114986312
Name:DAWOODJEE, SAHERA (OD)
Entity Type:Individual
Prefix:DR
First Name:SAHERA
Middle Name:
Last Name:DAWOODJEE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2921 ERIE BLVD E
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224
Mailing Address - Country:US
Mailing Address - Phone:315-445-7465
Mailing Address - Fax:315-445-7675
Practice Address - Street 1:933 ROME TABERG RD SUITE 2
Practice Address - Street 2:EMPIRE VISION CENTERS
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440
Practice Address - Country:US
Practice Address - Phone:315-337-7700
Practice Address - Fax:315-337-7729
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV0061961152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB1140Medicare PIN
NYRB1139Medicare PIN
U11637Medicare UPIN
NYRB0915Medicare PIN
NYRA1186Medicare ID - Type Unspecified