National Provider Identifier

Wissam Haddad, OD

Wissam Haddad, OD is listed in the NPPES registry with a primary specialty of Optometrist in Tonawanda, NY and a listed phone number of (716) 834-6000.

NPI 1063309631Tonawanda, NYOptometrist

Profile Overview

NPI
1063309631
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
June 18, 2025
Last Updated
July 10, 2025

Practice Location

  • 2810 Sheridan Dr
  • Tonawanda, NY 14150-9419

Phone: (716) 834-6000

Mailing Address

  • 185 Athens Blvd
  • Tonawanda, NY 14223-1601

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1063309631
Entity Type
Individual
Last Name
Haddad
First Name
Wissam
Name Prefix
Dr.
Credential
OD
Mailing Street Address
185 Athens Blvd
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14223-1601
Mailing Country
US
Mailing Phone
(716) 515-3129
Practice Street Address
2810 Sheridan Dr
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-9419
Practice Country
US
Practice Phone
(716) 834-6000
Practice Fax
(716) 834-3245
Enumeration Date
June 18, 2025
Last Updated
July 10, 2025
Sex
Male
Sole Proprietor
No
Certification Date
July 10, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)