Provider Demographics
NPI:1033631262
Name:HANNA, SARA SEFEIN (OD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:SEFEIN
Last Name:HANNA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 BAIST DR
Mailing Address - Street 2:
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872-2234
Mailing Address - Country:US
Mailing Address - Phone:978-930-6378
Mailing Address - Fax:
Practice Address - Street 1:2361 HIGHWAY 66
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3961
Practice Address - Country:US
Practice Address - Phone:732-481-0026
Practice Address - Fax:732-481-0047
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008616-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty