Individual provider Active NPI

Sara Sefein Hanna, OD

  • Optometrist
  • Ocean, NJ
National Provider Identifier
1033631262
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008616-1 Issued in NY
Practice address
2361 Highway 66
Ocean, NJ 07712-3961
Phone
(732) 481-0026
Fax
(732) 481-0047
NPI assigned
Jul 10, 2017
Last updated
Jan 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008616-1 NY Primary

Addresses

Primary practice location

2361 Highway 66
Ocean, NJ 07712-3961

Mailing address

326 Baist Dr
Sayreville, NJ 08872-2234
Phone (978) 930-6378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180913000532 NJ Practitioner - Optometry 1355691353 Reassigns benefits to 1 organization
I20240503003305 NY Practitioner - Optometry 1355691353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Associates of Staten Island PCGroup PAC ID 0749179075, 5 clinicians

Practice addresses (Care Compare)

1460 Victory Blvd
Staten Island, NY 10301-3914
Phone (718) 447-0022

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008616-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates of Staten Island PC Single Specialty CurrentSince May 1, 2024 Accepting new patients
Opthalmology Assoc of Statien Island Dba Bridge Opticians CurrentSince May 1, 2024 Accepting new patients
Marshall Eyecare Physicians, PC Optometrist CurrentSince Sep 1, 2022 Accepting new patients

Locations

2128 State Route 35
Holmdel, NJ 07733
Phone (732) 275-0010

1071 State Route 34
Ste E
Matawan, NJ 07747
Phone (732) 566-7700

1460 Victory Blvd
Staten Island, NY 10301
Phone (718) 273-8100

Interoperability endpoints

  • Direct secure messaging: shanna@oasi.direct.eyemdemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1033631262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 BAIST DR",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088722234",
            "telephone_number": "978-930-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 HIGHWAY 66",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123961",
            "telephone_number": "732-481-0026",
            "fax_number": "732-481-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "SARA",
        "middle_name": "SEFEIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-01-15",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008616-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.