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SASHA BALWAN OD
NPI 1487198412
Optometrist in College Point, NY

Active since December 09, 2016PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1434 110TH ST STE 303, COLLEGE POINT, NY 11356(718) 964-6161 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sasha Balwan Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SASHA BALWAN OD (NPI 1487198412) is an individual optometrist in College Point, New York, licensed in New York (56008534) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2015).

NPPES Registry Identity

NPI1487198412
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSASHA BALWANCredential: OD
Location Address1434 110TH ST STE 303College Point, NY 11356-1448
Mailing Address1434 110th St Ste 303College Point, NY 11356-1448
Phone(718) 964-6161
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2015
Enumeration DateDecember 9, 2016
Last NPPES UpdateApril 25, 2017
✔ NPI 1487198412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · 56008534
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1434 110TH ST STE 303, College Point, NY 11356
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sasha Balwan Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365723707
PECOS Enrollment IDI20161227000867
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
570 services469 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
409 services409 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
310 services310 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
310 services267 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL LAFASAKIS PH.D.,MS ED.,BCBA-D
Behavior Analyst
1434 110TH ST STE 303
COLLEGE POINT, NY 11356
Queens County (718) 569-5439
GWENDOLYN GRANT
Behavior Technician
1434 110TH ST STE 303
COLLEGE POINT, NY 11356
Queens County (718) 569-5439
KIDZ CHOICE SERVICES, INC.
Behavior Analyst
1434 110TH ST STE 303
COLLEGE POINT, NY 11356
Queens County (718) 569-5439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sasha Balwan's NPI number?

The NPI number for Sasha Balwan is 1487198412. It was assigned to this individual provider in the NPPES registry on December 9, 2016.

Where is Sasha Balwan located?

Sasha Balwan practices at 1434 110th St Ste 303, College Point, NY 11356. The listed phone number is (718) 964-6161.

What is Sasha Balwan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sasha Balwan enrolled in Medicare?

Yes. Sasha Balwan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sasha Balwan accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Sasha Balwan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sasha Balwan was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.