Active NPI
Alison D. Hansen, OD
- Optometrist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2362
- Practice address
- 4606 E 67TH St
#400
Tulsa, OK 74136-4943 - Phone
- (918) 481-2796
- Fax
- (918) 481-2785
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- 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 | 2362 | OK | Primary |
Addresses
Primary practice location
4606 E 67TH St
#400
Tulsa, OK 74136-4943
Mailing address
4606 E 67TH St
#400
Tulsa, OK 74136-4943
Phone (918) 481-2796
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100735860A | Other | OK | MEDICAID GROUP |
| 800522449 | Other | OK | MEDICARE GROUP # |
| 1447244827 | Other | OK | NPI GROUP |
| 200002500B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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
- Illinois College of Optometry at Chicago, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1826 E 15TH St
Suite B
Tulsa, OK 74104-4637
Phone (918) 747-3937
2000 S Wheeling Ave
Suite 1010
Tulsa, OK 74104-5646
Phone (918) 747-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2362 | OK | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Institute Inc | Current | Accepting new patients | |
| Marc a Goldberg MD PC | Past | Accepting new patients | |
| Northeastern Retina, P.C. | Past | Accepting new patients |
Locations
2000 S Wheeling Ave
Ste 1010
Tulsa, OK 74104
Phone (918) 584-4433
1826 E 15th St
Ste B
Tulsa, OK 74104
Phone (918) 579-2229
Interoperability endpoints
- ah@eyeinstitute.ecldirect.net
- ahansen@teiok.intellechartdirect.net
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Tulsa, OK
- NPI 1982638516
-
- Eyewear Supplier
- Tulsa, OK
- NPI 1174836241
-
- Ophthalmology Physician
- Tulsa, OK
- NPI 1043233133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228694400000",
"number": "1740298041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 E 67TH ST",
"address_2": "#400",
"city": "TULSA",
"state": "OK",
"postal_code": "741364943",
"telephone_number": "918-481-2796",
"fax_number": "918-481-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4606 E 67TH ST",
"address_2": "#400",
"city": "TULSA",
"state": "OK",
"postal_code": "741364943",
"telephone_number": "918-481-2796",
"fax_number": "918-481-2785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "ALISON",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2008-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "100735860A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "800522449",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1447244827",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200002500B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.