Individual provider Active NPI

Muneer Nabeel Hanna, O.D.

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1285656553
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2712 Issued in FL
Practice address
1680 Southside Blvd # 100
Jacksonville, FL 32216-1924
Phone
(904) 722-2020
Fax
(904) 720-2032
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5712 FL
Optometrist 152W00000X OPC2712 FL
Optometrist 152W00000X 2712 FL Primary

Addresses

Primary practice location

1680 Southside Blvd # 100
Jacksonville, FL 32216-1924

Mailing address

1680 Southside Blvd # 100
Jacksonville, FL 32216-1924
Phone (904) 722-2020

Other identifiers 1

IdentifierTypeStateIssuer
620072900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050207000715 FL Practitioner - Optometry 1951352996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1680 Southside Blvd
Suite 100
Jacksonville, FL 32216-1924

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2712FLMDOptometrist
OPC5712FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Muneer Hanna and Associates PA CurrentSince May 1, 1993 Accepting new patients

Locations

1680 Southside Blvd
#100
Jacksonville, FL 32216
Phone (904) 722-2020

1680 Southside Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 722-2020

1704 Southside Blvd
Ste 6
Jacksonville, FL 32216
Phone (904) 722-2020

2292 Mayport Rd
Ste 6
Jacksonville, FL 32233
Phone (904) 246-3550

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1285656553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 SOUTHSIDE BLVD # 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161924",
            "telephone_number": "904-722-2020",
            "fax_number": "904-720-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SOUTHSIDE BLVD # 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161924",
            "telephone_number": "904-722-2020",
            "fax_number": "904-720-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MUNEER",
        "middle_name": "NABEEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5712",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2712",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620072900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.