David John Hansen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1889 Issued in MN

Practice address

406 Rosedale Center
Pearle Vision
Roseville, MN 55113

Phone

(651) 631-9394

Fax

(651) 631-9698

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optometric Services, LLC

  • Optometrist
  • Roseville, MN
  • NPI 1518010495

  MN, Optometrist

  Medicare reassignment NPD
• Sees the Day LTD

  • Optician
  • Woodbury, MN
  • NPI 1396823316

  MN, Optometrist

  Medicare reassignment NPD
• Sees the Day LTD

  • Technician/Technologist
  • Hudson, WI
  • NPI 1437208386

  WI

  Medicare reassignment NPD
• Sees the Day LTD

  • Technician/Technologist
  • Hastings, MN
  • NPI 1942370572

  Optometrist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710047865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 STONEBRIDGE TR",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829568",
            "telephone_number": "651-439-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 ROSEDALE CENTER",
            "address_2": "PEARLE VISION",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-631-9394",
            "fax_number": "651-631-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Lea Halvorson, MD
• Hamline Health & Wellness PA
• Kristin Hangge, FNP
• Julie Estelle Macbain Hanna, M.D.
• Katherine Hannon, DDS
• Derick William Hansen, DPT
• Daniel W Hanson, MD
• Anton Tavares Hanspard Jr.
• Halima Mohamed Haret
• Harmony Assisted Living

• All providers in Roseville, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.