Active NPIIndividual provider

Sara S Shissias, OD

Optometrist in West Berlin, New Jersey

NPI Number1811203276
Practice location
204 Haddon Ave, West Berlin, NJ 08091-1607
Fax
856-768-7451
Last updated
February 9, 2024

Sara Shkalim Shissias is an Optometrist based in West Berlin, NJ. Sara Shkalim Shissias practices in West Berlin, NJ and has the professional credentials of OD. The NPI Number for Sara Shkalim Shissias is 1811203276 and holds a License No. OEG002407 (PA). The current practice location address for Sara Shkalim Shissias is 204 Haddon Ave, West Berlin, NJ 08091-1607 and can be reached out via phone at 856-768-2515 and via fax at 856-768-7451.

Provider Profile Details

NPI Number
1811203276
Provider Name
Sara Shkalim Shissias
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
204 Haddon Ave, West Berlin, NJ 08091-1607
Phone Number
856-768-2515
Fax Number
856-768-7451
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Other Names
Sara Shkalim, OD (Professional Name)
Provider Enumeration Date
August 24, 2010
Last Update Date
February 9, 2024
Certification Date
October 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
204 Haddon Ave
West Berlin, NJ 08091-1607
Zip
08091-1607
Phone Number
856-768-2515
Fax Number
856-768-7451
West Berlin, NJ 08091Get directions →

Provider Business Mailing Address Details

Address
204 Haddon Ave
West Berlin, NJ 08091-1607
City
West Berlin
State
NJ
Zip
08091-1607
Phone Number
856-768-2515
Fax Number
856-768-7451

License Information

License Number (1)
OEG002407
License State (1)
PA
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
27OA00632300
License State (2)
NJ
Taxonomy (2)
Optometrist, Low Vision Rehabilitation · 152WL0500X
License Number (3)
27OA00632300
License State (3)
NJ
Taxonomy (3)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sara S Shissias, OD?

The NPI number of Sara S Shissias, OD is 1811203276. It was assigned on August 24, 2010 and is currently active in the NPPES registry.

What is the specialty of Sara S Shissias, OD?

Sara S Shissias, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PA under license number OEG002407.

Where does Sara S Shissias, OD practice?

The practice location is 204 Haddon Ave, West Berlin, NJ 08091-1607. The office can be reached at 856-768-2515 (phone) or 856-768-7451 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811203276 directly on the NPPES registry website.

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