Provider Demographics
NPI:1457701351
Name:CHEDID, NADA
Entity Type:Individual
Prefix:MS
First Name:NADA
Middle Name:
Last Name:CHEDID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TINDER CT
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-8513
Mailing Address - Country:US
Mailing Address - Phone:973-619-5110
Mailing Address - Fax:
Practice Address - Street 1:1 TINDER CT
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-8513
Practice Address - Country:US
Practice Address - Phone:973-619-5110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101003141156FC0800X, 156FC0801X, 156FX1100X, 156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact Lens
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter
No156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic