Organization Active NPI

Dr Hanson & Associates PA

  • Corneal and Contact Management Optometrist
  • Fort Myers, FL
National Provider Identifier
1285957233
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC3118 Issued in FL
Legal business name
DR HANSON & ASSOCIATES PA
Practice address
4600 Summerlin Rd Ste C4
Fort Myers, FL 33919-3003
Phone
(239) 936-2121
NPI assigned
Mar 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Dr. Randal Linn Hanson, O.D.NPI 1194945717
Title
President
Phone
(239) 936-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X OPC3118 FL Primary

Addresses

Primary practice location

4600 Summerlin Rd Ste C4
Fort Myers, FL 33919-3003

Mailing address

4600 Summerlin Rd Ste C4
Fort Myers, FL 33919-3003
Phone (239) 936-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100907000931 FL Part B Supplier - Clinic/Group Practice 6103940523 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1285957233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SUMMERLIN RD STE C4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193003",
            "telephone_number": "239-936-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SUMMERLIN RD STE C4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193003",
            "telephone_number": "239-936-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HANSON & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "LINN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-936-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC3118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.