Individual provider Active NPI

Thomas E Hankenson III, O.D.

  • Optometrist
  • Parker, CO
National Provider Identifier
1790775492
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CO1884 Issued in CO
Practice address
10233 S Parker Rd Ste D
Parker, CO 80134-9314
Phone
(303) 840-4949
Fax
(303) 840-0184
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CO1884 CO Primary

Addresses

Primary practice location

10233 S Parker Rd Ste D
Parker, CO 80134-9314

Mailing address

10233 S Parker Rd Ste D
Parker, CO 80134-9314
Phone (303) 840-4949

Other practice location 1

210 S Elizabeth St Ste B
Elizabeth, CO 80107-7539
Phone (303) 840-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000550 CO Practitioner - OptometryPractitioner - Family PracticePractitioner - Emergency Medicine 4688765274 Practice locations: Parker, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO1884COMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790775492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10233 S PARKER RD STE D",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349314",
            "telephone_number": "303-840-4949",
            "fax_number": "303-840-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10233 S PARKER RD STE D",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349314",
            "telephone_number": "303-840-4949",
            "fax_number": "303-840-0184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Elizabeth St Ste B",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "CO",
            "postal_code": "801077539",
            "country_code": "US",
            "telephone_number": "303-840-4949",
            "fax_number": "720-328-9364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANKENSON",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO1884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.