Individual provider Active NPI

Stanley Dean Hanson, O.D.

  • Optometrist
  • Denver, CO
National Provider Identifier
1417949181
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
899 Issued in CO
Practice address
850 E Harvard Ave
Suite 205
Denver, CO 80210-5073
Phone
(303) 777-8551
Fax
(303) 777-8435
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 899 CO Primary

Addresses

Primary practice location

850 E Harvard Ave
Suite 205
Denver, CO 80210-5073

Mailing address

850 E Harvard Ave
Suite 205
Denver, CO 80210-5073
Phone (303) 777-8551

Other identifiers 1

IdentifierTypeStateIssuer
08008997MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20061005000661 CO Practitioner - Optometry 5193721629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Family Eyecare Optometrist CurrentSince Jan 1, 2022 Accepting new patients

Locations

850 E Harvard Ave
Ste 205
Denver, CO 80210
Phone (303) 777-3653

4920 S Yosemite St
Ste C5
Greenwood Village, CO 80111
Phone (303) 220-5100

9045 Forsstrom Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 858-8474

Organizations & group practices 1

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1417949181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE",
            "address_2": "SUITE 205",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105073",
            "telephone_number": "303-777-8551",
            "fax_number": "303-777-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE",
            "address_2": "SUITE 205",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105073",
            "telephone_number": "303-777-8551",
            "fax_number": "303-777-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "STANLEY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08008997",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.