Terry M Hansen OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

109507-9934 Issued in UT

Legal business name

TERRY M HANSEN OD LLC

Practice address

2828 W 4700 S
Suite D
Salt Lake City, UT 84118-2154

Phone

(801) 966-6201

Fax

(801) 966-6609

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Terry Milo Hansen, O.D.

Title

Owner

Phone

(801) 966-6201

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Clifford Shosted, O.D.

  • Optometrist
  • Salt Lake City, UT
  • NPI 1164650685
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1104150770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 W 4700 S",
            "address_2": "SUITE D",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841182154",
            "telephone_number": "801-966-6201",
            "fax_number": "801-966-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 W 4700 S",
            "address_2": "SUITE D",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841182154",
            "telephone_number": "801-966-6201",
            "fax_number": "801-966-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY M HANSEN OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MILO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-966-6201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "109507-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaye Terrano
• Tina Joyce Terrazas
• Celeste N Terrell
• Kellie Leigh Terrell
• Sarah Terrell
• Briana Terry, DNP, APRN, PMHNP-BC
• Carina Terry
• Cynthia Terry, SLP
• David Terry
• Jason T Terry, D.P.T.

• Optometrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.