NPIMap

Organization Active NPI

Cory R Hansen OD PS

Doing business as Eyecare Associates of West Richland

  • Optometrist
  • West Richland, WA
National Provider Identifier
1144368556
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD 3852 Issued in WA
Legal business name
CORY R HANSEN OD PS
Doing business as
Eyecare Associates of West Richland
Practice address
4476 W Van Giesen St Ste B
West Richland, WA 99353-5411
Phone
(509) 967-1503
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Cory Hansen, OD
Title
President
Phone
(509) 967-1503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD 3852 WA Primary

Addresses

Primary practice location

4476 W Van Giesen St Ste B
West Richland, WA 99353-5411

Mailing address

4476 W Van Giesen Street Ste B
Kennewick, WA 99338-5411
Phone (509) 967-1503

Other names 1

  • Eyecare Associates of West Richland Doing business as

National Provider Directory

National Provider Directory

Locations

8505 W Gage Blvd
#A
Kennewick, WA 99336
Phone (253) 906-6325

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1144368556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 W VAN GIESEN STREET STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993385411",
            "telephone_number": "509-967-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4476 W VAN GIESEN ST STE B",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993535411",
            "telephone_number": "509-967-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORY R HANSEN OD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-967-1503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 3852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Associates of West Richland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.