SANA S. KHADAIR – Optometrist, NPI 1295608768

SANA S. KHADAIR is a healthcare provider. based in Hoover, Alabama. specializing in OPTOMETRY. They hold a License No. OPT003693 (GA). The NPI Number for SANA S. KHADAIR is 1295608768

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
SANA S. KHADAIR
NPI
1295608768
Phone
(205) 903-5839
Address
279 TRACE RIDGE RD
Enumeration Date
29 September 2025
Last Update Date
29 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062194444
Graduation Year
2025 (1 year ago)
PAC ID
7416445556
Group Practice PAC ID
2466476270
Professional Enrollment ID
I20251021004525
Address ID
GA305280000CL1801XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for SANA S. KHADAIR

  • 279 TRACE RIDGE RD

    HOOVER, AL 352443927

    Phone: (205) 903-5839

    Type: Mailing

  • 1105 MORNINGSIDE DR

    PERRY, GA 310692905

    Phone: (478) 988-4628

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251021004525IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35244)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466476270View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

Can I cross-check SANA S. KHADAIR using NPI 1295608768?
NPI 1295608768 belongs to SANA S. KHADAIR; compare other details if you need extra assurance.
Is there an active status for SANA S. KHADAIR?
For scheduling context, SANA S. KHADAIR is shown as active in the registry.
What expertise is attributed to SANA S. KHADAIR?
SANA S. KHADAIR's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is SANA S. KHADAIR located near Hoover?
SANA S. KHADAIR currently maps to Hoover, Alabama in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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