Individual provider Active NPI

Sana Aziem, O.D.

  • Optometrist
  • Winston Salem, NC
National Provider Identifier
1265840581
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2356 Issued in NC
Practice address
3732 Creekshire CT
Winston Salem, NC 27103-1363
Phone
(336) 793-5904
NPI assigned
Jul 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2356 NC Primary

Addresses

Primary practice location

3732 Creekshire CT
Winston Salem, NC 27103-1363

Mailing address

3732 Creekshire CT
Winston Salem, NC 27103-1363
Phone (336) 793-5904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241007003629 NC Practitioner - Optometry 0446781033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Retina Institute PCGroup PAC ID 1153324330, 2 clinicians

Practice addresses (Care Compare)

940 SE Cary Pkwy
Suite 100
Cary, NC 27518-7417
Phone (919) 859-4511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2356NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Retina Institute PC CurrentSince Jul 10, 2024 Accepting new patients

Locations

940 SE Cary Pkwy
Ste 100
Cary, NC 27518
Phone (919) 362-7707

Interoperability endpoints

  • Direct secure messaging: drsanaaziem@carolinaretina.direct.eyemdemr.com

Organizations & group practices 1

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": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1265840581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 CREEKSHIRE CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031363",
            "telephone_number": "336-793-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 CREEKSHIRE CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031363",
            "telephone_number": "336-793-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIEM",
        "first_name": "SANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.