Rocky G Hansen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002646 Issued in MI

Practice address

307 S Franklin
Greenville, MI 48838-1905

Phone

(616) 754-7143

Fax

(616) 754-2778

NPI assigned

Oct 7, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

E.C. One, PLLCGroup PAC ID 0547217184, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• E.C. One, PLLC

  dba Eye Care One

  • Optometrist
  • Fremont, MI
  • NPI 1639137508
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1003804667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S FRANKLIN ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381759",
            "telephone_number": "616-754-7143",
            "fax_number": "616-754-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S FRANKLIN",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381905",
            "telephone_number": "616-754-7143",
            "fax_number": "616-754-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ROCKY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "RH002646",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "01256",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "943153415",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Hancock
• Hansen Vision Center PLC
• Stacy Lynn Hansen-Goodell, FNP-C
• Diane L Hansen
• Katrina Hansen
• Sharlene Katherine Hansknecht, P.T.
• Emily J Harr
• Keri Harrington
• Mary Beth Harrington, PT
• Asaf Harris, MD

• Optometrist in Greenville, MI
• Providers in Greenville, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.