Active NPI
Eissa Hanna, M.D.
- Ophthalmology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20619
- Practice address
- 653 N Town Center Dr Ste 212
Las Vegas, NV 89144-0516 - Phone
- (702) 982-1360
- Fax
- (702) 202-3489
- NPI assigned
- Jul 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD60284655 | WA | |
| Ophthalmology Physician | 207W00000X | 20619 | NV | Primary |
Addresses
Primary practice location
653 N Town Center Dr Ste 212
Las Vegas, NV 89144-0516
Mailing address
653 N Town Center Dr Ste 212
Las Vegas, NV 89144-0516
Phone (702) 982-1360
Other practice location 1
2555 Box Canyon Dr
Las Vegas, NV 89128-0429
Phone (702) 733-2020
Other practice location 2
10424 S Eastern Ave Ste 100
Henderson, NV 89052-4293
Phone (702) 733-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194989996 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of California, Davis School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
653 N Town Ctr Dr
Suite 212
Las Vegas, NV 89144-0516
Phone (702) 982-1360
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.81 of 100
- Quality
- 92.96
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 68.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 319 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20619 | NV | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Nevada | Ophthalmology | Current | Accepting new patients |
| Hanna Professional LLC | Ophthalmology | Current | Accepting new patients |
| Perozek Professional Corporation | Ophthalmology | Current | Accepting new patients |
Locations
10424 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 733-2020
2555 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 316-4400
653 N Town Center Dr
Ste 212
Las Vegas, NV 89144
Phone (702) 982-1360
2110 E Flamingo Rd
Ste 210
Las Vegas, NV 89119
Phone (702) 733-2020
Interoperability endpoints
- eissa.hanna.p28@direct.avp.nextgenshare.com
- ehanna@seerightnow.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.
-
- Ophthalmology Physician
- Las Vegas, NV
- NPI 1831918150
-
- Ophthalmology Physician
- Las Vegas, NV
- NPI 1801843685
-
- Ophthalmology Physician
- Las Vegas, NV
- NPI 1881748283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1194989996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 N TOWN CENTER DR STE 212",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891440516",
"telephone_number": "702-982-1360",
"fax_number": "702-202-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 N TOWN CENTER DR STE 212",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891440516",
"telephone_number": "702-982-1360",
"fax_number": "702-202-3489"
}
],
"practiceLocations": [
{
"address_1": "2555 Box Canyon Dr",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891280429",
"country_code": "US",
"telephone_number": "702-733-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10424 S Eastern Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890524293",
"country_code": "US",
"telephone_number": "702-733-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "EISSA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD60284655",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NV",
"license": "20619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194989996",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.