Active NPI
Murray Hanson, O.D.
- Optometrist
- Faribault, MN
National Provider Identifier
1679595276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2187
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00097440 | Other | MN | RAILROAD 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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 70.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2187 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Clinic of Faribault PA | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.