Joshua Jordan Hansen

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

14211544-1205 Issued in UT

Practice address

1735 N State St
Provo, UT 84604-1010

Phone

(801) 374-1818

Fax

(801) 374-0163

NPI assigned

Mar 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Miami, LM Miller School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Utah Eye AssociatesGroup PAC ID 3577464908, 17 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joshua.hansen.p1@direct.exceleyecenter.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Utah Eye Associates

  • Ophthalmology Physician
  • Provo, UT
  • NPI 1992722888
  Medicare reassignment Care Compare group NPD
• Central Utah Optical

  dba Excel Eye Center

  • Eyewear Supplier
  • Provo, UT
  • NPI 1396831483
  NPD (past)

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1932786977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 N STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041010",
            "telephone_number": "801-374-1818",
            "fax_number": "801-374-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 N STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041010",
            "telephone_number": "801-374-1818",
            "fax_number": "801-374-0163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Jesse Hill Jr Dr SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303033049",
            "country_code": "US",
            "telephone_number": "404-778-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1172 E 100 N Ste 4",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "UT",
            "postal_code": "846511668",
            "country_code": "US",
            "telephone_number": "801-465-2575",
            "fax_number": "801-465-0629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "692 E Market Place Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork",
            "state": "UT",
            "postal_code": "846601479",
            "country_code": "US",
            "telephone_number": "801-465-2675",
            "fax_number": "801-465-0629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JOSHUA",
        "middle_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "14211544-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camie Rachell Hansen, APRN
• Camille Hansen
• Clarene Townsend Hansen, FNP
• Cory Lane Hansen, PHARM.D.
• Jason Conway Hansen, PA-C
• Madeline Claire Hansen, BS
• Matthew C. Hansen
• Racquel Lyn Hansen, ATC
• Randall Tyler Hansen, DO
• Rebecca L Hansen

• Ophthalmology Physician in Provo, UT
• Providers in Provo, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.