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SALLY ELIZABETH HANSEN O.D.
NPI 1770951048
Optometrist in Morro Bay, CA

Active since September 03, 2015PECOS Enrolled
65.32/100
CMS Quality Rating
590 HARBOR ST, MORRO BAY, CA 93442(805) 772-1269(805) 772-2172 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sally Elizabeth Hansen O.d. NPPES

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

SALLY ELIZABETH HANSEN O.D. (NPI 1770951048) is an individual optometrist in Morro Bay, California, licensed in California (OPT 15416 TLG) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1770951048
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSALLY ELIZABETH HANSENCredential: O.D.
Location Address590 HARBOR STMorro Bay, CA 93442-1904
Mailing Address363 Town Ctr E, Ste G-73Santa Maria, CA 93454-5159 · (805) 932-8192
Phone(805) 772-1269
Fax(805) 772-2172
Sole ProprietorNo
Enumeration DateSeptember 3, 2015
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1770951048 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 CA · OPT 15416 TLG
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.
590 HARBOR ST, Morro Bay, CA 93442
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1363 Town Ctr E, Ste G-73Santa Maria, CA 93454-5159 · Phone (805) 932-8192
Location 2525 Plaza Dr Ste 304Santa Maria, CA 93454-6955 · Phone (805) 987-5300 · Fax (818) 707-7668
Location 3835 Aerovista Pl Ste 110San Luis Obispo, CA 93401-8741 · Phone (805) 987-5300 · Fax (818) 707-7668
Location 4104 Gateway Center Dr Ste BPaso Robles, CA 93446-3753 · Phone (805) 987-5300 · Fax (818) 707-7668

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Elizabeth Hansen O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sally Hansen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elite Eyecare Medical Group A Medical Corporation
12 mi
Ophthalmology
437 MARSH ST
San Luis Obispo, CA 93401
  • Reassigned Medicare billing, California enrollment
  • 20 clinicians in this Medicare group
NPI 1760982300 (805) 925-2637
Advanced Family Vision Center Inc
137 mi
Optometrist
766 LOS ANGELES AVE, SUITE D3
Moorpark, CA 93021
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1043488547 (805) 624-1254

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 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.
61 services61 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.
31 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93442 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

65.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost54.34

Other Providers at the Same Location NPPES 5

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

DR. LEIA MICHELLE DUMLAO BALLESTEROS OD
Optometrist
590 HARBOR ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-1269
ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION
Optometrist
590 HARBOR ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-1269
TIFFANY SMART, O.D.
Optometrist
590 HARBOR ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-1269
DR. TIFFANY TYLER SMART OD
Optometrist
590 HARBOR ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-1269
ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION
Eyewear Supplier
590 HARBOR ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-1269

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 Sally Hansen's NPI number?

The NPI number for Sally Hansen is 1770951048. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Where is Sally Hansen located?

Sally Hansen practices at 590 Harbor St, Morro Bay, CA 93442. The listed phone number is (805) 772-1269.

What is Sally Hansen's specialty?

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

Is Sally Hansen enrolled in Medicare?

Yes. Sally Hansen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sally Hansen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Hansen reassigns Medicare benefits to 2 organizations: Elite Eyecare Medical Group A Medical Corporation (San Luis Obispo, CA) and Advanced Family Vision Center Inc (Moorpark, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sally Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sally Hansen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Sally Hansen 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 Sally Hansen was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.