Individual provider Active NPI

Scott D. Hansen, O.D.

  • Optometrist
  • Nampa, ID
National Provider Identifier
1992832935
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3562TX Issued in WA
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

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000176 ID Practitioner - Optometry 3476682725 Reassigns benefits to 2 organizations

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
LWK P CGroup PAC ID 5890824247, 14 clinicians
Eye Pros Treasure ValleyGroup PAC ID 5496129934, 5 clinicians

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 100Reported as group
Quality
77.91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3562TXWAMDOptometrist
1050IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Pros Treasure Valley Optometrist CurrentSince Feb 20, 2023 Accepting new patients
LWK, P.C. Optometrist CurrentSince Feb 25, 2010 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.