Individual provider Active NPI

Steven E Hansen, O.D.

  • Corneal and Contact Management Optometrist
  • Massillon, OH
National Provider Identifier
1285628412
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
4354 T260 Issued in OH
Practice address
3545 Lincoln Way E
Suite a
Massillon, OH 44646-8624
Phone
(330) 837-5191
Fax
(330) 837-0755
NPI assigned
Sep 2, 2005
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 4354 T260 OH Primary

Addresses

Primary practice location

3545 Lincoln Way E
Suite a
Massillon, OH 44646-8624

Mailing address

3545 Lincoln Way E
Suite a
Massillon, OH 44646-8624
Phone (330) 837-5191

Other identifiers 1

IdentifierTypeStateIssuer
0951242MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20090723000376 OH Practitioner - Optometry 8820140767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Clinic IncGroup PAC ID 4880614338, 5 clinicians

Practice addresses (Care Compare)

3545 Lincoln Way E
Suite a
Massillon, OH 44646-8624
Phone (330) 837-5191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4354 T260OHMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Clinic, Inc. CurrentSince Jan 1, 2003 Accepting new patients
The Eye Clinic Inc Corneal and Contact Management CurrentSince Jan 1, 2003 Accepting new patients

Locations

3545 Lincoln Way E
Ste A
Massillon, OH 44646
Phone (330) 837-5191

1605 Portage St NW
North Canton, OH 44720
Phone (330) 433-1350

Interoperability endpoints

  • Direct secure messaging: shansen@theeyeclinic.intellechartdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1285628412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 LINCOLN WAY E",
            "address_2": "SUITE A",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468624",
            "telephone_number": "330-837-5191",
            "fax_number": "330-837-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LINCOLN WAY E",
            "address_2": "SUITE A",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468624",
            "telephone_number": "330-837-5191",
            "fax_number": "330-837-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "STEVEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "4354 T260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0951242",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.