Active NPI
Tanya Marie Hedman, O.D.
- Optometrist
- Grand Island, NE
National Provider Identifier
1205944857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1246
- Practice address
- 3501 S Locust St
Grand Island, NE 68801-8853 - Phone
- (308) 381-5865
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1246 | NE | Primary |
Addresses
Primary practice location
3501 S Locust St
Grand Island, NE 68801-8853
Mailing address
2803 Cross Point Dr
Grand Island, NE 68803-9711
Phone (308) 380-3989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025252100 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1246 | NE | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205944857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 CROSS POINT DR",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688039711",
"telephone_number": "308-380-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 S LOCUST ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688018853",
"telephone_number": "308-381-5865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDMAN",
"first_name": "TANYA",
"middle_name": "MARIE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025252100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.