Individual provider Active NPI

Hannah Hays Sipola, OD

  • Optometrist
  • Virginia, MN
National Provider Identifier
1326444043
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3403 Issued in MN
Practice address
413 Chestnut St
Virginia, MN 55792-2525
Phone
(919) 649-5745
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3403 MN Primary

Addresses

Primary practice location

413 Chestnut St
Virginia, MN 55792-2525

Mailing address

413 Chestnut St
Virginia, MN 55792-2525
Phone (919) 649-5745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20150615001586 MN Practitioner - Optometry 8921319146 Reassigns benefits to 1 organization
Practice locations: Duluth, MN; Hibbing, MN; Virginia, MN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic North Professional AssociationGroup PAC ID 9638471444, 3 clinicians

Practice addresses (Care Compare)

807 N 6TH Ave
Virginia, MN 55792-2308
Phone (218) 741-5886

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3403MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic North, Professional Association Optometrist CurrentSince Jul 1, 2016 Accepting new patients
Eye Clinic North, Professional Association Optometrist CurrentSince Jul 1, 2016 Accepting new patients

Locations

405 N 57th Ave W
Duluth, MN 55807
Phone (218) 624-1804

1330 E 1st St
Duluth, MN 55805
Phone (218) 724-5050

1311 E 34th St
Hibbing, MN 55746
Phone (218) 263-3633

413 Chestnut St
Virginia, MN 55792
Phone (218) 741-5886

807 N 6th Ave
Virginia, MN 55792
Phone (218) 741-5886

Organizations & group practices 2

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": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1326444043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 CHESTNUT ST",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922525",
            "telephone_number": "919-649-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 CHESTNUT ST",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922525",
            "telephone_number": "919-649-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPOLA",
        "first_name": "HANNAH",
        "middle_name": "HAYS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.