Thomas Brian Hanseter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2302-035 Issued in WI

Practice address

303 Bay Park SQ
Space 976
Green Bay, WI 54304-5104

Phone

(920) 497-8399

Fax

(920) 497-7894

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Luxottica of America Inc

  • Eyewear Supplier
  • Appleton, WI
  • NPI 1174622583
  Medicare reassignment NPD
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306943972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 S MAIN ST",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541651433",
            "telephone_number": "920-833-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BAY PARK SQ",
            "address_2": "SPACE 976",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045104",
            "telephone_number": "920-497-8399",
            "fax_number": "920-497-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSETER",
        "first_name": "THOMAS",
        "middle_name": "BRIAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2302-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn A Hansen, D.P.M.
• James Christopher Hansen, MD
• Kevin Michael Hansen, MD
• Mary Roberta Hansen, B.S.
• Nicole E Hansen, APNP
• Angela Marie Hanson, M.S., CCC-SLP
• Brian Hanson, ATC
• Chase Hanson, DPT
• Cheryl A Hanson, PT
• Jenna Mae Hanson, PA-C

• Optometrist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.