Provider Demographics
NPI:1780455709
Name:DR. NEHA DADA OD PLLC
Entity type:Organization
Organization Name:DR. NEHA DADA OD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DADA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:980-981-4868
Mailing Address - Street 1:5124 OLD CHARLOTTE HIGHWAY
Mailing Address - Street 2:SUITE-G
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28110
Mailing Address - Country:US
Mailing Address - Phone:980-981-4868
Mailing Address - Fax:980-981-4878
Practice Address - Street 1:5124 OLD CHARLOTTE HIGHWAY
Practice Address - Street 2:SUITE-G
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28110
Practice Address - Country:US
Practice Address - Phone:845-774-6585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty