Sarah Hansen OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004641 Issued in MI

Legal business name

SARAH HANSEN OD PLLC

Doing business as

The Eye Doc Shop

Practice address

1425 Michigan St NE
Ste D
Grand Rapids, MI 49503-2027

Phone

(616) 458-1951

Fax

(616) 458-2089

NPI assigned

Sep 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sarah K Hansen, OD

Title

Owner/Optometrist

Phone

(906) 235-0433

Specialties & licenses 1

Addresses

Other names 1

• The Eye Doc Shop Doing business as

Locations

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

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443225600000",
    "number": "1265802789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MICHIGAN ST NE",
            "address_2": "STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032027",
            "telephone_number": "616-458-1951",
            "fax_number": "616-458-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MICHIGAN ST NE",
            "address_2": "STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032027",
            "telephone_number": "616-458-1951",
            "fax_number": "616-458-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH HANSEN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-26",
        "last_updated": "2015-09-26",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "906-235-0433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Doc Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Audrey Ann Sarantos, PA-C
• Michael J Sarber, CRNA
• Connie Sargunam, LLP

• Optometrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; 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.