Individual provider Active NPI

Cherry Maria Hanna, OD

  • Optometrist
  • Freehold, NJ
National Provider Identifier
1164081410
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA005964000 Issued in NJ
Practice address
509 Stillwells Corner Rd Ste E5
Freehold, NJ 07728-2965
Phone
(732) 431-3312
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA005964000 NJ Primary

Addresses

Primary practice location

509 Stillwells Corner Rd Ste E5
Freehold, NJ 07728-2965

Mailing address

1309 Cricket LN
Woodbridge, NJ 07095-1595
Phone (848) 219-9034

Other names 1

  • Ms. Cherry Maria Girgis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190827000196 NJ Practitioner - Optometry 2961730163 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

509 Stillwells Corner Rd
Suite E5
Freehold, NJ 07728-2965
Phone (732) 431-9333

Merit-based Incentive Payment System (MIPS)

Final score
79.97 of 100Reported as group
Quality
87.94
Improvement activities
40
Cost
49.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA005964000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New GW LLC CurrentSince Mar 20, 2020 Accepting new patients
Freehold Ophthalmology, LLC CurrentSince Jul 6, 2019 Accepting new patients
Eye Centers of America, LLC CurrentSince Jan 24, 2026 Accepting new patients

Locations

385 State Route 18
Ste H
East Brunswick, NJ 08816
Phone (732) 698-9300

509 Stillwells Corner Rd
Ste E5
Freehold, NJ 07728
Phone (732) 409-6440

20 Hospital Dr
Ste 6
Toms River, NJ 08755
Phone (732) 349-7167

Interoperability endpoints

  • Direct secure messaging: channa@gwd.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1164081410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 CRICKET LN",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951595",
            "telephone_number": "848-219-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD STE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-431-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "CHERRY",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA005964000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERRY",
            "last_name": "GIRGIS",
            "middle_name": "MARIA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.