Hanni Lynn Hagen OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2528 Issued in OK

Legal business name

HANNI LYNN HAGEN OD INC

Practice address

1111 SW 44TH St
Oklahoma City, OK 73109-3601

Phone

(405) 702-4302

NPI assigned

Apr 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Hanni HagenNPI 1881886836

Title

Optometrist

Phone

(918) 200-3690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hanni L Hagen, O.D.

  • Optometrist
  • Oklahoma City, OK
  • NPI 1881886836
  Medicare reassignment Authorized official
• Ken Coy Roddy, O.D.

  • Optometrist
  • Oklahoma City, OK
  • NPI 1508910498
  NPD (past)

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1801273867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 NW 115TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731622710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SW 44TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093601",
            "telephone_number": "405-702-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNI LYNN HAGEN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "HANNI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "918-200-3690",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Paige Hanna
• Robert Richard Hanna, B.A.
• Shayla Hanna
• Heather Lynn Hannah
• Stephanie Deeaun Hannan, R.N.
• Morgan Hanni, PA-C
• Delawnda Lanette Hansard, B.A. IN PSYCHOLOGY
• Chiquita Deason Hansen, PHARM.D.
• Daniel Kenneth Hansen, DO
• Karl Hansen, M.D., PH.D.

• Optometrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.