Jeffrey E Hansen, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

289301-1205 Issued in UT

Practice address

200 N Fairgrounds Rd
Ste 2
Price, UT 84501

Phone

(435) 637-8689

Fax

(435) 637-8689

NPI assigned

Aug 24, 2006

Last updated

Dec 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Utah Eye Physicians

  • Ophthalmic Technician/Technologist
  • Price, UT
  • NPI 1881801504

  Ophthalmology

  Medicare reassignment NPD
• Eastern Utah Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Price, UT
  • NPI 1619048170
  Authorized official Same address or phone
• Retina and Vitreous Surgeons of Utah, LLC

  • Retina Specialist (Ophthalmology) Physician
  • Provo, UT
  • NPI 1518117407
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1386751634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N FAIRGROUNDS RD",
            "address_2": "STE 2",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-8689",
            "fax_number": "435-637-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N FAIRGROUNDS RD",
            "address_2": "STE 2",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-8689",
            "fax_number": "435-637-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "289301-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian James Griffeth, D.P.M.
• Amiee Gunter
• Stella J Gutierrez, ACMHC
• Annika Hansen
• Eric Hansen
• Morgan Rae Hansen, M.S. CF-SLP
• Tracy Hansen, STUDENT AND HEALTHCA
• Ryan Mark Hanson, AU.D.
• Tamarisk Hanson
• Jonathon Spencer Hardman

• Ophthalmology Physician in Price, UT
• Providers in Price, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.