Samantha Sanborn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00723500 Issued in NJ

Practice address

485 Route 1 South, Building a
Iselin, NJ 08830

Phone

(732) 750-0400

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omni Eye Specialists P aGroup PAC ID 0547150062, 45 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.sanborn.p1@direct.omnieyeservices.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Omni Eye Specialists P a

  • Ophthalmology Physician
  • Iselin, NJ
  • NPI 1376593863
  Medicare reassignment Care Compare group NPD
• Omni Eye Surgery of New York PC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1598748659
  Medicare reassignment NPD

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1881472231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 SOUTH",
            "address_2": "BUILDING A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-750-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 SOUTH, BUILDING A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-750-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANBORN",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "RT009905",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00723500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Marie Rubilotta, MS, PA-C
• Jane E Ryan, APN-C
• S & a Ever Life LLC
• Maggie Lauren Sabin, MSW, LCSW
• Hiba Saleem, FNP-C
• Brinder Singh Sandhu, PHARMD
• Sanraj Inc.
• Kenya Santos, RN
• Lauren Sappok
• Adrienne Sauer

• Optometrist in Iselin, NJ
• Providers in Iselin, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.