Individual provider Active NPI

Sana S. Khadair

  • Optometrist
  • Perry, GA
National Provider Identifier
1295608768
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003693 Issued in GA
Practice address
1105 Morningside Dr
Perry, GA 31069-2905
Phone
(478) 988-4628
NPI assigned
Sep 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT003693 GA Primary

Addresses

Primary practice location

1105 Morningside Dr
Perry, GA 31069-2905

Mailing address

279 Trace Ridge Rd
Hoover, AL 35244-3927
Phone (205) 903-5839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20251021004525 GA Practitioner - Optometry 7416445556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dalton Family Eyecare, Inc.Group PAC ID 2466476270, 11 clinicians

Practice addresses (Care Compare)

1801 Hwy 129 S
Cleveland, GA 30528
Phone (706) 219-4444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003693GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dalton Family Eyecare, Inc. Optometrist CurrentSince Oct 14, 2025 Accepting new patients

Locations

1801 Highway 129 S
Cleveland, GA 30528
Phone (706) 219-4444

134 Ansley Dr
Ste 300
Dahlonega, GA 30533
Phone (706) 219-4444

1105 Morningside Dr
Perry, GA 31069
Phone (478) 987-2020

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": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1295608768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 TRACE RIDGE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443927",
            "telephone_number": "205-903-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-988-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADAIR",
        "first_name": "SANA",
        "middle_name": "S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.