Active NPI
Amorette L. Hanna, O.D., PLLC
- Optometrist
- Durham, NC
National Provider Identifier
1124477849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NC2351
- Legal business name
- AMORETTE L. HANNA, O.D., PLLC
- Practice address
- 4005 Durham Chapel Hill Blvd
Durham, NC 27707-2516 - Phone
- (919) 905-2020
- NPI assigned
- Jun 3, 2016
- 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
- Amorette Hanna
- Title
- Owner, Optometrist
- Phone
- (919) 905-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NC2351 | NC | Primary |
Addresses
Primary practice location
4005 Durham Chapel Hill Blvd
Durham, NC 27707-2516
Mailing address
10150 Donerail Way Apt 307
Raleigh, NC 27617-6235
Phone (919) 905-2020
Other practice location 1
1101 Shiloh Glenn Dr
Morrisville, NC 27560-5419
Phone (919) 905-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154754810 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524873600000",
"number": "1124477849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10150 DONERAIL WAY APT 307",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276176235",
"telephone_number": "919-905-2020",
"fax_number": "919-590-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 DURHAM CHAPEL HILL BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072516",
"telephone_number": "919-905-2020"
}
],
"practiceLocations": [
{
"address_1": "1101 Shiloh Glenn Dr",
"address_purpose": "LOCATION",
"city": "Morrisville",
"state": "NC",
"postal_code": "275605419",
"country_code": "US",
"telephone_number": "919-905-2020",
"fax_number": "919-590-1722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AMORETTE L. HANNA, O.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-03",
"last_updated": "2018-04-28",
"status": "A",
"authorized_official_last_name": "HANNA",
"authorized_official_first_name": "AMORETTE",
"authorized_official_title_or_position": "OWNER, OPTOMETRIST",
"authorized_official_telephone_number": "919-905-2020"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": "NC2351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154754810",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.