Active NPI
Hansen Thomas Millett, OD
- Optometrist
- Saint Louis, MO
National Provider Identifier
1295570976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2024022113
- Practice address
- 7840 Natural Bridge Rd # PCC
Saint Louis, MO 63121-4617 - Phone
- (314) 516-5131
- Fax
- (314) 516-5507
- NPI assigned
- Jun 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2024022113 | MO | Primary |
Addresses
Primary practice location
7840 Natural Bridge Rd # PCC
Saint Louis, MO 63121-4617
Mailing address
3713 Av de Paris Dr
Florissant, MO 63034-3107
Phone (425) 445-7454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
846 Expressway LN
Spanish Fork, UT 84660-1300
Phone (833) 776-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024022113 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Pros Spanish Fork LLC | Optometrist | Current | Accepting new patients |
Locations
3485 N Cole Rd
Unit 45479
Boise, ID 83711
846 Expressway Ln
Spanish Fork, UT 84660
Phone (385) 337-4688
Networks
- UT PPO
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Spanish Fork, UT
- NPI 1568298768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1295570976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3713 AV DE PARIS DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630343107",
"telephone_number": "425-445-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 NATURAL BRIDGE RD # PCC",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631214617",
"telephone_number": "314-516-5131",
"fax_number": "314-516-5507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLETT",
"first_name": "HANSEN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2024022113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.