Provider Demographics
NPI:1912088105
Name:SAITOWITZ, HADLEY NEIL (OD)
Entity Type:Individual
Prefix:
First Name:HADLEY
Middle Name:NEIL
Last Name:SAITOWITZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16201 S MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6503
Mailing Address - Country:US
Mailing Address - Phone:561-498-8100
Mailing Address - Fax:561-498-8188
Practice Address - Street 1:16201 S MILITARY TRL
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6503
Practice Address - Country:US
Practice Address - Phone:561-498-8100
Practice Address - Fax:561-498-8188
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2707152W00000X
FLOP2707152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620751100Medicaid
FL620751100Medicaid
FL20478Medicare ID - Type Unspecified