Sara Shkalim Shissias, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00632300 Issued in NJ

Practice address

204 Haddon Ave
West Berlin, NJ 08091-1607

Phone

(856) 768-2515

Fax

(856) 768-7451

NPI assigned

Aug 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Sara Shkalim Professional name

Medicare fee-for-service enrollment

Enrolled in DE, NJ2 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

Specialty

Optometry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SNS VisionGroup PAC ID 9335539600, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sara.shkalimod.p1@direct.horizoneyecare.nextgenshare.com

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.

• SNS Vision

  • Optometrist
  • West Berlin, NJ
  • NPI 1750053450
  Medicare reassignment Care Compare group NPD Authorized official
• Simon Eye Associates PA

  • Optometrist
  • Wilmington, DE
  • NPI 1205871506
  Medicare reassignment NPD

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1811203276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HADDON AVE",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080911607",
            "telephone_number": "856-768-2515",
            "fax_number": "856-768-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HADDON AVE",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080911607",
            "telephone_number": "856-768-2515",
            "fax_number": "856-768-7451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9701 Ventnor Ave",
            "address_purpose": "LOCATION",
            "city": "Margate City",
            "state": "NJ",
            "postal_code": "084022222",
            "country_code": "US",
            "telephone_number": "609-822-4242",
            "fax_number": "609-822-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHISSIAS",
        "first_name": "SARA",
        "middle_name": "SHKALIM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2024-02-09",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002407",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NJ",
            "license": "27OA00632300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00632300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "SHKALIM",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Larry Sol Rosenberg, MD
• Theresa Mary Rosiak
• Sambulance Safety Squad
• Shivangi Shah, PHARMD
• Nickolas J Shissias, O.D.
• Sid III,LLC
• Ashima Sirpal, DMD
• SNS Vision
• Monica Jacquelyn Sparks, PHARMD
• Edward A Tanski Jr., D.D.S.

• Optometrist in West Berlin, NJ
• Providers in West Berlin, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.