Active NPI
Joseph M Hanson, OD
- Optometrist
- Pittsburgh, PA
National Provider Identifier
1497717581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OE005645P
- Practice address
- 575 Lincoln Avenue
Pittsburgh, PA 15202-3550 - Phone
- (412) 788-0757
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OE005645P | PA | Primary |
Addresses
Primary practice location
575 Lincoln Avenue
Pittsburgh, PA 15202-3550
Mailing address
5121 Carnoustie CT
Presto, PA 15142-1507
Phone (412) 279-3998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE005645P | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1497717581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5121 CARNOUSTIE CT",
"city": "PRESTO",
"state": "PA",
"postal_code": "151421507",
"telephone_number": "412-279-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 LINCOLN AVENUE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152023550",
"telephone_number": "412-788-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "JOSEPH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE005645P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.