Active NPI
Chris J Hanson, O.D.
- Optometrist
- Germantown, WI
National Provider Identifier
1053475483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1537
- Practice address
- W156N11048 Pilgrim Rd
Germantown, WI 53022-4247 - Phone
- (262) 255-6895
- Fax
- (262) 255-6982
- NPI assigned
- Dec 20, 2006
- Last updated
- May 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1537 | WI | Primary |
Addresses
Primary practice location
W156N11048 Pilgrim Rd
Germantown, WI 53022-4247
Mailing address
PO Box 286
Germantown, WI 53022-0286
Phone (262) 255-6895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000087068 | Other | WI | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1537 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1053475483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 286",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530220286",
"telephone_number": "262-255-6895",
"fax_number": "262-255-6982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W156N11048 PILGRIM RD",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530224247",
"telephone_number": "262-255-6895",
"fax_number": "262-255-6982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "CHRIS",
"middle_name": "J",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "000087068",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Germantown, WI
- Marisa Groshek, DPT
- Erin Therese Grueneberg, DNP
- Carissa Anne Guagliardo
- Katherine Habanek, DC
- Sabrina R Hafeman, OTR
- Latosha Marie Harper, MD, DPT, MPT, ATC
- Vicki Ann Harrington, R.N.
- Nicholas Carl Hartmann, DPT
- Healing Hands Therapy Center, LLC
- Health Ventures LLC (Seniors Helping Seniors Washington and Ozaukee)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.