Organization Active NPI

Dr. Muneer Hanna and Associates PA

Doing business as Hanna Eye Care

  • Vision Therapy Optometrist
  • Jacksonville, FL
National Provider Identifier
1760654016
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OPC 2712 Issued in FL
Legal business name
DR. MUNEER HANNA AND ASSOCIATES PA
Doing business as
Hanna Eye Care
Practice address
1680 Southside Blvd Ste 100
Jacksonville, FL 32216-1924
Phone
(904) 722-2020
Fax
(904) 720-2032
NPI assigned
Mar 27, 2008
Reactivated
Jan 15, 2020
Last updated
Jan 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Dr. Muneer N Hanna, O.D.NPI 1285656553
Title
Optometrist
Phone
(904) 722-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X OPC 2712 FL Primary

Addresses

Primary practice location

1680 Southside Blvd Ste 100
Jacksonville, FL 32216-1924

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
620072900MedicaidFL

Other names 1

  • HANNA EYE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210000465 FL Part B Supplier - Clinic/Group Practice 9436100484 Receives reassigned benefits from 4 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

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

9480 Arlington Expy
Jacksonville, FL 32225
Phone (904) 721-7665

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1760654016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 SOUTHSIDE BLVD STE #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 STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161924",
            "telephone_number": "904-722-2020",
            "fax_number": "904-720-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MUNEER HANNA AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "deactivation_date": "2019-08-02",
        "reactivation_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "MUNEER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "904-722-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC 2712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620072900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HANNA EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.