Individual provider Active NPI

Sanam Hafeez

  • Optometrist
  • New Hyde Park, NY
National Provider Identifier
1306702121
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011076 Issued in NY
Practice address
5 Dakota Dr
New Hyde Park, NY 11042-1107
Phone
(914) 439-7302
NPI assigned
Dec 26, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

Organizations & group practices 11

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Vermont Dr
New Hyde Park, NY 11042-1128

5 A Goldthwaite Rd
Apt 7
Worcester, MA 01605-1449

5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1106

5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, VA, MN, WI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20260212000945 NY Practitioner - Optometry 6800375551 Reassigns benefits to 2 organizations
I20260324003972 DC Practitioner - Optometry 6800375551 Reassigns benefits to 1 organization
I20260421001317 VA Practitioner - Optometry 6800375551 Reassigns benefits to 1 organization
I20260506002525 MN Practitioner - Optometry 6800375551 Reassigns benefits to 1 organization
I20260603004136 WI Practitioner - Optometry 6800375551 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011076NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
200 West Optics, LLC Optometrist CurrentSince Mar 4, 2026 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Mar 4, 2026 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Jan 29, 2026 Accepting new patients
Empire Vision Center, Inc CurrentSince Jan 29, 2026 Accepting new patients

Locations

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

2127 Crompond Rd
Ste 101
Cortlandt Mnr, NY 10567
Phone (914) 737-2020

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

1663 E Henrietta Rd
Rochester, NY 14623
Phone (585) 424-7000

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011076 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

5 Dakota Dr
New Hyde Park, NY 11042-1107

Mailing address

5 Dakota Dr
New Hyde Park, NY 11042-1107

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2026.

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1306702121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DAKOTA DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DAKOTA DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421107",
            "telephone_number": "914-439-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEEZ",
        "first_name": "SANAM",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-26",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.