Individual provider Active NPI

Hannah Massa, OD

  • Optometrist
  • Boardman, OH
National Provider Identifier
1619756665
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007221 Issued in OH
Practice address
1449 Boardman Canfield Rd Ste 230
Boardman, OH 44512-8053
Phone
(330) 758-6671
NPI assigned
Sep 27, 2023
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007221 OH Primary

Addresses

Primary practice location

1449 Boardman Canfield Rd Ste 230
Boardman, OH 44512-8053

Mailing address

4325 Miller Rd
Flint, MI 48507-1216
Phone (810) 394-6926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231007000474 MI Practitioner - Optometry 5193170371 Reassigns benefits to 1 organization
I20231117001016 OH Practitioner - Optometry 5193170371

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3200 Cabaret TRL S
Saginaw, MI 48603-2240
Phone (989) 790-5005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Management Services, LLC Optometrist CurrentSince Oct 5, 2023 Accepting new patients
Optical Management Services, LLC Optometrist CurrentSince Oct 5, 2023 Accepting new patients
Optical Management Services, LLC Optometrist Current Accepting new patients
Optical Management Services, LLC Optometrist PastSince Apr 21, 2024 Accepting new patients

Locations

4325 Miller Rd
Flint, MI 48507
Phone (810) 230-9180

3200 Cabaret Trl S
Saginaw, MI 48603
Phone (989) 320-4434

2185 18 Mile Rd
Sterling Heights, MI 48314
Phone (248) 879-2388

101 E Long Lake Rd
Troy, MI 48085
Phone (248) 879-2388

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1619756665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071216",
            "telephone_number": "810-394-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 BOARDMAN CANFIELD RD STE 230",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445128053",
            "telephone_number": "330-758-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSA",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.