Active NPI
George A Hanson, OD
- Optometrist
- Milwaukee, WI
National Provider Identifier
1679540892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1731
- Practice address
- 7815 W Burleigh St
Milwaukee, WI 53222-4914 - Phone
- (414) 873-5135
- Fax
- (414) 873-8808
- NPI assigned
- Mar 7, 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 | 1731 | WI | Primary |
Addresses
Primary practice location
7815 W Burleigh St
Milwaukee, WI 53222-4914
Mailing address
7815 W Burleigh St
Milwaukee, WI 53222-4914
Phone (414) 873-5135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38525500 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1731 | WI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220313600000",
"number": "1679540892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7815 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532224914",
"telephone_number": "414-873-5135",
"fax_number": "414-873-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7815 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532224914",
"telephone_number": "414-873-5135",
"fax_number": "414-873-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "GEORGE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2008-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38525500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.