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
- Last updated
- Aug 21, 2009
- 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, 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": "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.