Organization Active NPI

Mark R Hanson OD PA

  • Optometrist
  • Arlington, TX
National Provider Identifier
1891978797
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3043TG Issued in TX
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

Updated by the provider on Dec 13, 2007

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5332290001OtherTXDMERC

Other names 1

  • Insight Vision Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.