Provider Demographics
NPI:1013077163
Name:SLEDGE, NADIA (OD)
Entity Type:Individual
Prefix:DR
First Name:NADIA
Middle Name:
Last Name:SLEDGE
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 1:1307 WICKSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-4515
Mailing Address - Country:US
Mailing Address - Phone:713-478-1695
Mailing Address - Fax:713-623-8448
Practice Address - Street 1:5015 WESTHEIMER RD STE 2304
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5610
Practice Address - Country:US
Practice Address - Phone:713-623-4181
Practice Address - Fax:713-623-8429
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5361TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX038428101Medicaid
TX203340247OtherSUPERIOR
TXMI351863OtherCLARITY
TXPEARLEGALLERIAOtherOPTICARE
TX18513OtherDAVIS-EYEMED
TXTX5361OtherEYEMED
TX038428101Medicaid