Organization Active NPI

Hansen Vision Center PLC

  • Optometrist
  • Greenville, MI
National Provider Identifier
1770592602
Registry record updated Sep 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002646 Issued in MI
Legal business name
HANSEN VISION CENTER PLC
Doing business as
Hansen Vision Center PLC
Practice address
307 S Franklin
Greenville, MI 48838-1905
Phone
(616) 754-7143
Fax
(616) 754-2778
NPI assigned
Aug 7, 2006
Last updated
Sep 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2012

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

Authorized official

Name
Mrs. Peggy Hansen
Title
Office
Phone
(616) 754-7143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002646 MI Primary

Addresses

Primary practice location

307 S Franklin
Greenville, MI 48838-1905

Mailing address

307 S Franklin
Greenville, MI 48838-1905
Phone (616) 754-7143

Other identifiers 2

IdentifierTypeStateIssuer
01256OtherMIPRIORITY HEALTH
900E97604OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Hansen Vision Center PLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347667200000",
    "number": "1770592602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S FRANKLIN",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381905",
            "telephone_number": "616-754-7143",
            "fax_number": "616-754-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S FRANKLIN",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381905",
            "telephone_number": "616-754-7143",
            "fax_number": "616-754-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN VISION CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-09-15",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "616-754-7143",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "01256",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "900E97604",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hansen Vision Center PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.