Individual provider Active NPI

Alison D. Hansen, OD

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1740298041
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2362 Issued in OK
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

Updated by the provider on Dec 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100735860AOtherOKMEDICAID GROUP
800522449OtherOKMEDICARE GROUP #
1447244827OtherOKNPI GROUP
200002500BMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040920000168 OK Practitioner - Optometry 0446228340 Reassigns benefits to 1 organization

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
The Eye Institute IncGroup PAC ID 7911995337, 19 clinicians

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

LicenseStateTypeSpecialty
2362OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Institute Inc CurrentSince Nov 1, 2015 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

  • Direct secure messaging: ah@eyeinstitute.ecldirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.