Provider Demographics
NPI:1225875735
Name:SAID, CHAD (OD)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:
Last Name:SAID
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 1:6408 GARDEN ROSE PATH
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-2155
Mailing Address - Country:US
Mailing Address - Phone:512-203-9713
Mailing Address - Fax:
Practice Address - Street 1:3124 E CENTRAL TEXAS EXPY
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-7333
Practice Address - Country:US
Practice Address - Phone:713-256-8065
Practice Address - Fax:254-690-6728
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11201152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist