Individual provider Active NPI

Murray Hanson, O.D.

  • Optometrist
  • Faribault, MN
National Provider Identifier
1679595276
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2187 Issued in MN
Practice address
1575 20TH St NW Ste 101
Faribault, MN 55021-2931
Phone
(507) 332-9900
Fax
(507) 332-6800
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2187 MN Primary

Addresses

Primary practice location

1575 20TH St NW Ste 101
Faribault, MN 55021-2931

Mailing address

1575 20TH St NW Ste 101
Faribault, MN 55021-2931
Phone (507) 332-9900

Other identifiers 1

IdentifierTypeStateIssuer
P00097440OtherMNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040127001009 MN Practitioner - Optometry 0345143590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic of Faribault, PAGroup PAC ID 9436052677, 10 clinicians

Practice addresses (Care Compare)

1575 20TH St NW
Faribault, MN 55021-2931
Phone (507) 332-9900

Merit-based Incentive Payment System (MIPS)

Final score
91.03 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2187MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic of Faribault PA Optometrist CurrentSince Nov 1, 2003 Accepting new patients

Locations

1575 20th St NW
Ste 101
Faribault, MN 55021
Phone (507) 332-6800

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1679595276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW STE 101",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212931",
            "telephone_number": "507-332-9900",
            "fax_number": "507-332-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW STE 101",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212931",
            "telephone_number": "507-332-9900",
            "fax_number": "507-332-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MURRAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00097440",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

Verify at the official NPI Registry.