Active NPI
Stephen Hancotte
- Optician
- Traverse City, MI
National Provider Identifier
1952035925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 2279 S Airport Rd W
Traverse City, MI 49684-4713 - Phone
- (231) 932-1520
- Fax
- (231) 932-1552
- NPI assigned
- Jul 14, 2022
- Last updated
- Oct 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
2279 S Airport Rd W
Traverse City, MI 49684-4713
Mailing address
2720 J Maddy Pkwy
Interlochen, MI 49643-9135
Phone (231) 932-1520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodwill Optical Inc | Current | Accepting new patients |
Locations
2720 J Maddy Pkwy
Interlochen, MI 49643
Phone (231) 932-1520
2279 S Airport Rd W
Traverse City, MI 49684
Phone (231) 932-1520
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1952035925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 J MADDY PKWY",
"city": "INTERLOCHEN",
"state": "MI",
"postal_code": "496439135",
"telephone_number": "231-932-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2279 S AIRPORT RD W",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844713",
"telephone_number": "231-932-1520",
"fax_number": "231-932-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOTTE",
"first_name": "STEPHEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-14",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
- Kyle Andrew Hamilton, KYLE HAMILTON, MSPT
- Hamilton's Home Therapy P.C.
- Kaitlynd Hamstra
- Juhn Mark Han
- Alyssa Hanbury, LLPC
- Hand Surgery of Northern Michigan PLC
- Hand Surgery of Northern Michigan PLC (Traverse Bay Hand Therapy PLC)
- Hand Surgery of Northern Michigan PLC (Traverse Bay Hand Therapy PLC)
- Hand Surgery of Northern Michigan PLC (Traverse Bay Hand Therapy PLC)
- Kimberly K Handwerk, MA, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.