Active NPI
Mark R Hanson OD PA
- Optometrist
- Arlington, TX
National Provider Identifier
1891978797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3043TG
- Legal business name
- MARK R HANSON OD PA
- Practice address
- 2351 W Lamar Blvd
Arlington, TX 76012 - Phone
- (817) 861-2020
- Fax
- (817) 274-0747
- NPI assigned
- Dec 13, 2007
- 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
- Dr. Mark R Hanson, O.D., P.A.
- Title
- Optometrist
- Phone
- (817) 861-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3043TG | TX | Primary |
Addresses
Primary practice location
2351 W Lamar Blvd
Arlington, TX 76012
Mailing address
2351 W Lamar Blvd
Arlington, TX 76012
Phone (817) 861-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5332290001 | Other | TX | DMERC |
Other names 1
- Insight Vision
National Provider Directory
National Provider DirectoryLocations
2351 W Lamar Blvd
Arlington, TX 76012
Phone (817) 861-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Arlington, TX
- NPI 1083653604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197504000000",
"number": "1891978797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 W LAMAR BLVD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76012",
"telephone_number": "817-861-2020",
"fax_number": "817-274-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 W LAMAR BLVD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76012",
"telephone_number": "817-861-2020",
"fax_number": "817-274-0747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK R HANSON OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A",
"authorized_official_last_name": "HANSON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "817-861-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D., P.A."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "3043TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "5332290001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Insight Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.