Individual provider Active NPI

Damon James Hanson, O.D.

  • Optometrist
  • Medford, OR
National Provider Identifier
1396006045
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3454ATI Issued in OR
Practice address
880 Golf View Dr
Suite 101
Medford, OR 97504
Phone
(541) 779-3791
Fax
(541) 608-2138
NPI assigned
May 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3454ATI OR Primary

Addresses

Primary practice location

880 Golf View Dr
Suite 101
Medford, OR 97504

Mailing address

880 Golf View Dr
Suite 101
Medford, OR 97504
Phone (541) 779-3791

Other identifiers 1

IdentifierTypeStateIssuer
500655627MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20130412000619 OR Practitioner - Optometry 4789820994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horn Optometric, LLCGroup PAC ID 8022917665, 4 clinicians

Practice addresses (Care Compare)

880 Golf View Dr
Suite 101
Medford, OR 97504-8496
Phone (541) 779-3797

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3454ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates of Southern Oregon PC Optometrist CurrentSince Oct 1, 2013 Accepting new patients
Horn Optometric, LLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients

Locations

933 Siskiyou Blvd
Ashland, OR 97520
Phone (408) 306-4316

880 Golf View Dr
Ste 101
Medford, OR 97504
Phone (541) 779-3797

935 Royal Ave
Medford, OR 97504
Phone (541) 779-2211

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1396006045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 GOLF VIEW DR",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-779-3791",
            "fax_number": "541-608-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 GOLF VIEW DR",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-779-3791",
            "fax_number": "541-608-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "DAMON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3454ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500655627",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.