Individual provider Active NPI

Lauren Hansen, O.D.

  • Optometrist
  • Casselberry, FL
National Provider Identifier
1386052801
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4945 Issued in FL
Practice address
3405 S US Highway 17/92
Casselberry, FL 32707-2927
Phone
(407) 339-1784
NPI assigned
Jul 28, 2014
Last updated
Jul 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4945 FL Primary

Addresses

Primary practice location

3405 S US Highway 17/92
Casselberry, FL 32707-2927

Mailing address

3405 S US Highway 17/92
Casselberry, FL 32707-2927
Phone (407) 339-1784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140926000082 FL Practitioner - Optometry 0840410817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Eye Center IncGroup PAC ID 7719884576, 8 clinicians

Practice addresses (Care Compare)

250 N Courtenay Pkwy
Merritt Island, FL 32953-3495
Phone (321) 984-3200

665 S Apollo Blvd
Melbourne, FL 32901-1485
Phone (321) 821-7446

7775 N Wickham Rd
Melbourne, FL 32940-7914
Phone (321) 984-3200

Merit-based Incentive Payment System (MIPS)

Final score
78.72 of 100Reported as group
Quality
88.38
Improvement activities
40
Cost
44.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Eye Center CurrentSince Jan 1, 2017 Accepting new patients
Brevard Eye Center Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Brevard Eye Center, Inc Current Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

665 S Apollo Blvd
Melbourne, FL 32901
Phone (321) 676-1700

7775 N Wickham Rd
Melbourne, FL 32940
Phone (321) 984-3200

450 E Merritt Island Cswy
Ste 300
Merritt Island, FL 32952

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1386052801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 S US HIGHWAY 17/92",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327072927",
            "telephone_number": "407-339-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 S US HIGHWAY 17/92",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327072927",
            "telephone_number": "407-339-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LAUREN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.