Organization Active NPI

John Christopher Hanford OD Inc

  • Optometrist
  • Traverse City, MI
National Provider Identifier
1356379929
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003271 Issued in MI
Legal business name
JOHN CHRISTOPHER HANFORD OD INC
Practice address
2640 Crossing Cir
Traverse City, MI 49684-7930
Phone
(231) 933-7195
Fax
(231) 933-7197
NPI assigned
Jun 30, 2006
Last updated
Dec 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Dr. John Christopher Hanford, O.D.NPI 1760436042
Title
President
Phone
(231) 933-7195

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
Optometrist 152W00000X 4901003271 MI Primary

Addresses

Primary practice location

2640 Crossing Cir
Traverse City, MI 49684-7930

Mailing address

5226 S Shoreview Cir
Suttons Bay, MI 49682-9164
Phone (231) 933-7195

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060630000289 MI Part B Supplier - Clinic/Group Practice 1951313279 Receives reassigned benefits from 1 practitioner
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Locations

2401 US 31 S
Traverse City, MI 49684
Phone (231) 946-8777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1356379929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 S SHOREVIEW CIR",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829164",
            "telephone_number": "231-933-7195",
            "fax_number": "231-933-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 CROSSING CIR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847930",
            "telephone_number": "231-933-7195",
            "fax_number": "231-933-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CHRISTOPHER HANFORD OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "HANFORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-933-7195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.