Individual provider Active NPI

Alice Hanson

  • Optometrist
  • Germantown, TN
National Provider Identifier
1447944335
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3812T Issued in TN
Practice address
9031 Valley Crest LN
Germantown, TN 38138-7829
Phone
(901) 757-2020
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3812T TN Primary

Addresses

Primary practice location

9031 Valley Crest LN
Germantown, TN 38138-7829

Mailing address

9031 Valley Crest LN
Germantown, TN 38138-7829
Phone (901) 757-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230706002464 TN Practitioner - Optometry 1052770260 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fayette Eye Associates PLLCGroup PAC ID 2567886062, 4 clinicians
Square Eyecare PLLCGroup PAC ID 6103225529, 4 clinicians
East Memphis Eye Associates PLLCGroup PAC ID 6103240288, 4 clinicians
Eyecare East, PLLCGroup PAC ID 7517195779, 5 clinicians

Practice addresses (Care Compare)

3161 Hwy 64
Suite 500
Eads, TN 38028-3370
Phone (901) 465-3130

50 N Main St
Suite 102
Collierville, TN 38017-2605
Phone (901) 757-2020

6450 Poplar Ave
Suite 117
Memphis, TN 38119-4882
Phone (901) 797-9008

9031 Valley Crest LN
Germantown, TN 38138-7829
Phone (901) 757-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3812TTNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
East Memphis Eye Associates PLLC Optometrist CurrentSince Jul 10, 2023 Accepting new patients
Square Eyecare, PLLC. Optometrist CurrentSince Jul 10, 2023 Accepting new patients
Eyecare East, PLLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Fayette Eye Associates PLLC CurrentSince Jul 10, 2023 Accepting new patients

Locations

50 N Main St
Ste 102
Collierville, TN 38017
Phone (901) 484-7017

3161 Highway 64
Ste 500
Eads, TN 38028
Phone (901) 465-3130

3161 Highway 64
Eads, TN 38028

9031 Valley Crest Ln
Germantown, TN 38138
Phone (901) 262-9475

6450 Poplar Ave
Ste 117
Memphis, TN 38119
Phone (901) 797-9008

Organizations & group practices 4

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1447944335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 VALLEY CREST LN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387829",
            "telephone_number": "901-757-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 VALLEY CREST LN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387829",
            "telephone_number": "901-757-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "ALICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3812T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.