Individual provider Active NPI

Gianinna Jandy Saa, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1760904130
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008643 Issued in NY
Practice address
2204 Bartow Ave
Bronx, NY 10475-4616
Phone
(718) 324-2020
Fax
(347) 843-0443
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008643 NY Primary

Addresses

Primary practice location

2204 Bartow Ave
Bronx, NY 10475-4616

Mailing address

2204 Bartow Ave
Bronx, NY 10475-4616
Phone (718) 324-2020

Other practice location 1

376 E 205th st
apt 1D
Bronx, NY 10467
Phone (347) 415-0441

Other practice location 2

376 E 205th st
apt 1D
Bronx, NY 10467
Phone (347) 415-0441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180301000227 NY Practitioner - Optometry 0446511711 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Vistasite Hamilton CorpGroup PAC ID 1951826635, 2 clinicians

Practice addresses (Care Compare)

3584 Broadway
New York, NY 10031-3201
Phone (212) 234-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008643NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Vision Group Inc Optometrist CurrentSince Jun 14, 2024 Accepting new patients
Vistasite Hamilton Corp Optometrist CurrentSince Mar 8, 2025 Accepting new patients
Smart Medical PLLC CurrentSince Oct 25, 2023 Accepting new patients
Bronx Vistasite Eyecare Inc Optometrist CurrentSince Jan 7, 2018 Accepting new patients
Broadway Vision Center Inc. Optometrist PastSince Jan 26, 2020 Accepting new patients
Harlem Vistasite Eye Care Inc Optometrist PastSince Apr 1, 2019 Accepting new patients

Locations

200 Baychester Ave
Ste 212B
Bronx, NY 10475
Phone (718) 320-2222

2204 Bartow Ave
Bronx, NY 10475
Phone (718) 320-2020

665 Pelham Pkwy N
Apt 202
Bronx, NY 10467
Phone (718) 547-2020

665 Pelham Pkwy N
Apt 102
Bronx, NY 10467
Phone (347) 324-4207

2613 E 16th St
Fl 2
Brooklyn, NY 11235
Phone (718) 265-9900

3584 Broadway
New York, NY 10031
Phone (212) 234-2020

3582 Broadway
New York, NY 10031
Phone (212) 234-2020

Organizations & group practices 6

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1760904130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 BARTOW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754616",
            "telephone_number": "718-324-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 BARTOW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754616",
            "telephone_number": "718-324-2020",
            "fax_number": "347-843-0443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 E 205th st",
            "address_2": "apt 1D",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10467",
            "country_code": "US",
            "telephone_number": "347-415-0441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "376 E 205th st",
            "address_2": "apt 1D",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10467",
            "country_code": "US",
            "telephone_number": "347-415-0441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAA",
        "first_name": "GIANINNA",
        "middle_name": "JANDY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.