Emily Jean Tully-Hanson, OD, MS

Primary specialty

OptometristTaxonomy code 152W00000X

License

35682 Issued in CA

Practice address

1595 E 17TH St
Santa Ana, CA 92705-8506

Phone

(714) 984-0788

NPI assigned

May 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Azul Vision IncGroup PAC ID 2264851740, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: emily.nickles.p1@direct.atlantiseyecare.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: enickles@californiaeye.intellechartdirect.net

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.

• Azul Vision Inc.

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1285247528

  Optometrist

  Medicare reassignment Care Compare group NPD
• California Eye Specialists Medical Group, Inc

  • Specialist
  • Pasadena, CA
  • NPI 1699713099
  NPD
• Eyecare Specialists Medical Group, Inc

  • Ophthalmology Physician
  • Anaheim, CA
  • NPI 1437181930

  Optometrist

  NPD (past)
• Eyecare Specialists Medical Group, Inc.

  • Ophthalmology Physician
  • Downey, CA
  • NPI 1568494649

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1033966775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058506",
            "telephone_number": "714-984-0788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7677 Center Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926473049",
            "country_code": "US",
            "telephone_number": "714-901-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULLY-HANSON",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Anthony Tucker Sr., MHS CATC IV 155671
• Lindsay Tucker
• Robin Lynne Tucker
• Vanessa Eliana Tucker
• Roxana Tudorica
• Lisa Tully
• Sara Tun, REGISTERED NURSE
• Olumide I Tunde Sanya
• Tung Xuan Nguyen DDS Inc
• Sing Long Tung, MD

• Optometrist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.