Douglas Mark Hinson, O.D.
Individual provider Active NPI Optometrist · Sturtevant, WI
NPI 1285721902 · NPPES record last updated Sep 9, 2011
Key facts
- NPI
- 1285721902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2081 (WI)
- Practice address
- 3049 S Oakes Rd
Sturtevant, WI 53177-1999 - Phone
- (262) 598-8627
- Fax
- (262) 598-8629
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hinson Family Vision | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2081 | WI | Yes |
Addresses
Primary practice location
3049 S Oakes Rd
Sturtevant, WI 53177-1999
Mailing address
12032 W Plainfield Ave
Greenfield, WI 53228-1857
Other providers in Sturtevant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.