Organization Active NPI

Amorette L. Hanna, O.D., PLLC

  • Optometrist
  • Durham, NC
National Provider Identifier
1124477849
Registry record updated Apr 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC2351 Issued in NC
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

Updated by the provider on Apr 28, 2018

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1154754810MedicaidNC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.