Mark Allen Hanson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2876-035 Issued in WI

Practice address

127 Main St
Black River Falls, WI 54615-1769

Phone

(715) 284-3111

NPI assigned

Dec 14, 2005

Last updated

Jun 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Art of Optometry LTD

  • Primary Care Clinic/Center
  • Black River Falls, WI
  • NPI 1033414594
  Medicare reassignment Authorized official
• Foster Primary Eye Care

  • Optometrist
  • Black River Falls, WI
  • NPI 1558426130
  NPD (past)
• Independent Vision Group, LTD

  • Ophthalmology Physician
  • Eau Claire, WI
  • NPI 1043836182
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1255316956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546150220",
            "telephone_number": "715-284-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151769",
            "telephone_number": "715-284-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2876-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38626300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19030",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Jeanne Hagenbrock, RPH
• Heather Lee Haines, MA, LPC
• Cheryl Lynn Hanson-Liu, MS
• Amber Jo Hanson
• Jennifer Christine Hanson, DNP
• Jessica Harm
• Lisa Lizette Harrison, RN
• Lauren Hannelore Hasler, PMHNP-BC
• Jennifer Lynn Hastings, MS, LPC-IT
• Steve J Hegna, D.D.S.

• Optometrist in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.