Active NPI
Craig T. Hanley, O.D., P.a.
- Optometrist
- Vero Beach, FL
National Provider Identifier
1013206580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC-1651
- Legal business name
- CRAIG T. HANLEY, O.D., P.A.
- Practice address
- 715 17 St.
Vero Beach, FL 32960 - Phone
- (772) 933-6000
- NPI assigned
- Apr 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig T. Hanley, O.D.
- Title
- President
- Phone
- (954) 691-7160
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC-1651 | FL | Primary |
Addresses
Primary practice location
715 17 St.
Vero Beach, FL 32960
Mailing address
656 S. Easy Street
Sebastian, FL 32958
Phone (954) 691-7160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
715 17th St
Vero Beach, FL 32960
Phone (772) 569-4822
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Ft Lauderdale, FL
- NPI 1871510511
-
- Optometrist
- Ft Lauderdale, FL
- NPI 1851607758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301961600000",
"number": "1013206580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "656 S. EASY STREET",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "32958",
"telephone_number": "954-691-7160",
"fax_number": "954-763-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 17 ST.",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32960",
"telephone_number": "772-933-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIG T. HANLEY, O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A",
"authorized_official_last_name": "HANLEY",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-691-7160",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC-1651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.