Individual provider Active NPI

Eissa Hanna, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1194989996
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20619 Issued in NV
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

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1194989996MedicaidNV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210426001693 NV Practitioner - Ophthalmology 6901062348 Reassigns benefits to 2 organizations

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
Hanna Professional LLCGroup PAC ID 4385177021, 3 clinicians

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 100Reported as group
Quality
92.96
Promoting interoperability
97
Improvement activities
40
Cost
68.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20619NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Nevada Ophthalmology CurrentSince May 1, 2021 Accepting new patients
Hanna Professional LLC Ophthalmology CurrentSince Aug 8, 2024 Accepting new patients
Perozek Professional Corporation Ophthalmology CurrentSince Dec 15, 2024 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

  • Direct secure messaging: eissa.hanna.p28@direct.avp.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.