Individual provider Active NPI

Sana Mubeen, O.D.

  • Optometrist
  • Aurora, IL
National Provider Identifier
1881046290
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011035 Issued in IL
Practice address
1298 Fox Valley Ctr
Aurora, IL 60504-4184
Phone
(630) 851-8301
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3726-35 WI
Optometrist 152W00000X TPOP92 FL
Optometrist 152W00000X 3764 MN
Optometrist 152W00000X OEG003880 PA
Optometrist 152W00000X 046011035 IL Primary

Addresses

Primary practice location

1298 Fox Valley Ctr
Aurora, IL 60504-4184

Mailing address

3263 Lapp LN
Naperville, IL 60564-8345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, PA, MN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211213002135 WI Practitioner - Optometry 6608272331 Reassigns benefits to 1 organization
I20220720000021 PA Practitioner - Optometry 6608272331 Reassigns benefits to 2 organizations
I20230202002247 MN Practitioner - Optometry 6608272331 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPOP92FLMDOptometrist
3726-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Dec 10, 2024 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Dec 10, 2024 Accepting new patients
Visionworks, Inc CurrentSince Dec 10, 2024 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Dec 10, 2024 Accepting new patients
Vision Pro II Inc Optometrist CurrentSince Dec 19, 2022 Accepting new patients
Eye Care Associates of SC LLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients

Locations

435 S Grove St
Ste 2
Blue Earth, MN 56013
Phone (507) 235-5323

1178 Burnsville Ctr
#2036
Burnsville, MN 55306
Phone (952) 435-5011

6487 Cedar Hills Dr
Cannon Falls, MN 55009
Phone (507) 263-3949

1344 W Arrowhead Rd
Duluth, MN 55811
Phone (218) 728-6211

147 W Pearl St
Owatonna, MN 55060
Phone (507) 451-5300

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

16025 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 785-0490

4800 Golf Rd
Ste 436
Eau Claire, WI 54701
Phone (715) 834-8404

3500 S 27th St
Milwaukee, WI 53221
Phone (414) 817-9100

2500 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 453-2315

Organizations & group practices 7

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1881046290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 LAPP LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 FOX VALLEY CTR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044184",
            "telephone_number": "630-851-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUBEEN",
        "first_name": "SANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3726-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP92",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3764",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003880",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.