Active NPI
Scott D. Hansen, O.D.
- Optometrist
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3562TX
- Practice address
- 16449 N. Midland Blvd.
Nampa, ID 83687 - Phone
- (208) 467-7020
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3562TX | WA | Primary |
Addresses
Primary practice location
16449 N. Midland Blvd.
Nampa, ID 83687
Mailing address
2121 S Beartooth Way
Meridian, ID 83642-8126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
291 N Milwaukee St
Suite A3
Boise, ID 83704-9132
Phone (208) 297-7019
6252 N Linder Rd
Suite 150
Meridian, ID 83646-1697
Phone (208) 954-9106
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.95 of 100
- Quality
- 77.91
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3562TX | WA | MD | Optometrist |
| 1050 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Pros Treasure Valley | Optometrist | Current | Accepting new patients |
| LWK, P.C. | Optometrist | Current | Accepting new patients |
Locations
291 N Milwaukee St
Ste A3
Boise, ID 83704
Phone (208) 297-7019
3485 N Cole Rd
Unit 45479
Boise, ID 83711
6252 N Linder Rd
Ste 150
Meridian, ID 83646
Phone (208) 297-7019
16448 N Midland Blvd
Nampa, ID 83687
Phone (208) 467-7020
Interoperability endpoints
- scottdhansen@direct.revolutionehr.com
Organizations & group practices 2
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.
-
- Optometrist
- Meridian, ID
- NPI 1083370340
-
- Optometrist
- Boise, ID
- NPI 1851624019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1992832935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 S BEARTOOTH WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16449 N. MIDLAND BLVD.",
"city": "NAMPA",
"state": "ID",
"postal_code": "83687",
"telephone_number": "208-467-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "SCOTT",
"middle_name": "D.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3562TX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.