Individual provider Active NPI

Anders Sven Hansson, O.D.

  • Optometrist
  • Alameda, CA
National Provider Identifier
1306036421
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13657 Issued in CA
Practice address
1432 Park St
Alameda, CA 94501-4510
Phone
(510) 769-2020
Fax
(510) 769-7912
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5720 OH
Optometrist 152W00000X 13657 CA Primary
Optometrist 152W00000X 0618001899 VA

Addresses

Primary practice location

1432 Park St
Alameda, CA 94501-4510

Mailing address

1432 Park St
Alameda, CA 94501-4510
Phone (510) 769-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090304000070 CA Practitioner - Optometry 6305902149 Practice locations: Alameda, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1432 Park St
Alameda, CA 94501-4510
Phone (510) 912-1693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13657CAMDOptometrist
5720OHMDOptometrist
0618001899VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Bay Optometry Dba Alameda Eyes Optometry Optometrist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1306036421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 PARK ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014510",
            "telephone_number": "510-769-2020",
            "fax_number": "510-769-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 PARK ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014510",
            "telephone_number": "510-769-2020",
            "fax_number": "510-769-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSSON",
        "first_name": "ANDERS",
        "middle_name": "SVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5720",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13657",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.