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SEAN D HYMAN
NPI 1780682120
Optometrist in Reading, PA

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
320 MORGANTOWN RD, READING, PA 19611(610) 898-0888(610) 898-0891 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sean D Hyman NPPES

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

SEAN D HYMAN (NPI 1780682120) is an individual optometrist in Reading, Pennsylvania, licensed in Pennsylvania (OEG000031) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1996).

NPPES Registry Identity

NPI1780682120
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSEAN D HYMAN
Location Address320 MORGANTOWN RDReading, PA 19611-2059
Mailing Address320 Morgantown RdReading, PA 19611-2059 · (610) 898-0888 · Fax (610) 898-0891
Phone(610) 898-0888
Fax(610) 898-0891
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1996
Enumeration DateJuly 11, 2005
Last NPPES UpdateFebruary 5, 2015
✔ NPI 1780682120 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 PA · OEG000031
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.
320 MORGANTOWN RD, Reading, PA 19611
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Other Identifiers 7

Other50041624PA · Capital Blue Cross
Other5912273PA · Aetna
Medicare ID-Type Unspecified892878
Medicare NSC5279300001
OtherEL1655020PA · Highmark Blue Shield
Medicare UPINU62972
Other3000327PA · Keystone Central

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Sean D Hyman 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 ID9638132392
PECOS Enrollment IDI20041104000675
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 6

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.
140 services139 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
74 services63 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.
64 services46 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.
53 services53 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
38 services34 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
37 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%25 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

ELITE EYECARE INC.
Optometrist
320 MORGANTOWN RD
READING, PA 19611
Berks County (610) 898-0888

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 Sean Hyman's NPI number?

The NPI number for Sean Hyman is 1780682120. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Sean Hyman located?

Sean Hyman practices at 320 Morgantown Rd, Reading, PA 19611. The listed phone number is (610) 898-0888.

What is Sean Hyman's specialty?

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

Is Sean Hyman enrolled in Medicare?

Yes. Sean Hyman 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 Sean Hyman accept?

Health plans from Providence Health Plan list Sean Hyman 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 Sean Hyman was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.