Sarah Kay Hansen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004641 Issued in MI

Practice address

5100 28TH St SE
Grand Rapids, MI 49512-2049

Phone

(616) 233-4403

Fax

(616) 233-4429

NPI assigned

Jul 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sarah Kay Hebert Former name

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

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.

• Richard H Benninger MD PC

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1275618068

  MI, Optometrist

  Medicare reassignment NPD
• Michigan Street Optical

  • Durable Medical Equipment & Medical Supplies
  • Grand Rapids, MI
  • NPI 1043350689
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1083902845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BARBARA ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441704",
            "telephone_number": "906-235-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122049",
            "telephone_number": "616-233-4403",
            "fax_number": "616-233-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "SARAH",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HEBERT",
            "middle_name": "KAY",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gail Irene Hansen
• Kaitlyn Hansen
• Kendra Hansen
• Marissa Marguerite Hansen, DPT
• Megan Hansen
• Brook G. Hanson, PA-C
• Cynthia Lynn Hanson, PA-C
• Danielle Hanson
• Elizabeth Hanson, PT, DPT
• Elizabeth Hanson, RD

• All providers in Grand Rapids, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.