Individual provider Active NPI

Lina Abu-Saab, OD

  • Optometrist
  • Hauppauge, NY
National Provider Identifier
1831827120
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009642 Issued in NY
Practice address
110 Marcus Blvd Ste 400
Hauppauge, NY 11788-3752
Phone
(631) 612-2770
NPI assigned
Aug 12, 2022
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009642 NY Primary

Addresses

Primary practice location

110 Marcus Blvd Ste 400
Hauppauge, NY 11788-3752

Mailing address

14 Jamaica Ave
Plainview, NY 11803-3420
Phone (516) 643-2339

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
I20220930001921 NY Practitioner - Optometry 9931585791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

260 E Middle Country Rd
Suite 201
Smithtown, NY 11787-2925
Phone (631) 265-8780

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC CurrentSince Sep 1, 2022 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Sep 1, 2022 Accepting new patients
North Shore Medical & Surgical Eye Care PC PastSince Mar 4, 2012 Accepting new patients

Locations

590 Nicolls Rd
Ste 1
Deer Park, NY 11729

110 Marcus Blvd
Ste 400
Hauppauge, NY 11788
Phone (631) 612-2770

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

233 Union Ave
Ste 103
Holbrook, NY 11741
Phone (631) 585-1527

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Organizations & group practices 3

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1831827120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JAMAICA AVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033420",
            "telephone_number": "516-643-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MARCUS BLVD STE 400",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883752",
            "telephone_number": "631-612-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU-SAAB",
        "first_name": "LINA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.