Organization Active NPI

Hanson-Moran Eye Clinic PC

  • Ophthalmology Physician
  • Watertown, SD
National Provider Identifier
1174543508
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HANSON-MORAN EYE CLINIC PC
Practice address
705 14TH Ave NE
Watertown, SD 57201-6827
Phone
(605) 886-7722
Fax
(605) 886-7723
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Michael J Moran, MD
Title
Owner Ophthalmologist
Phone
(605) 886-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

705 14TH Ave NE
Watertown, SD 57201-6827

Mailing address

705 14TH Ave NE
Watertown, SD 57201-6827
Phone (605) 886-7722

National Provider Directory

National Provider Directory

Locations

1039 4th St NE
#101
Watertown, SD 57201
Phone (605) 886-7722

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1174543508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 14TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016827",
            "telephone_number": "605-886-7722",
            "fax_number": "605-886-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 14TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016827",
            "telephone_number": "605-886-7722",
            "fax_number": "605-886-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSON-MORAN EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER  OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "605-886-7722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.