Active NPI
Michael W Hansen OD Inc
- Optometrist
- El Segundo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT11354TPL
- Legal business name
- MICHAEL W HANSEN OD INC
- Practice address
- 2101 Rosecrans Ave
Ste 1215
El Segundo, CA 90245-4749 - Phone
- (310) 321-6990
- NPI assigned
- Jan 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Hansen, OD
- Title
- Owner
- Phone
- (310) 321-6990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT11354TPL | CA | Primary |
Addresses
Primary practice location
2101 Rosecrans Ave
Ste 1215
El Segundo, CA 90245-4749
Mailing address
2101 Rosecrans Ave
Ste 1215
El Segundo, CA 90245-4749
Phone (310) 321-6990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT11354TPL | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Michael W Hansen OD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Redondo Beach, CA
- NPI 1245653617
Locations
2101 Rosecrans Ave
Ste 215
El Segundo, CA 90245
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Redondo Beach, CA
- NPI 1669465035
-
- Optometrist
- San Diego, CA
- NPI 1235786633
-
- Corneal and Contact Management Optometrist
- Berkeley, CA
- NPI 1386363711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389744000000",
"number": "1811319478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 ROSECRANS AVE",
"address_2": "STE 1215",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454749",
"telephone_number": "310-321-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ROSECRANS AVE",
"address_2": "STE 1215",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454749",
"telephone_number": "310-321-6990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL W HANSEN OD INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-15",
"last_updated": "2014-01-15",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-321-6990",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "OPT11354TPL",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OPT11354TPL",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.