Hansen, Jacob

Hansen, Jacob is an individual health care provider with primary practice located at 575 E University Pkwy Ste E100 , Orem UT 84097-7400. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Hansen, Jacob can be contacted via phone (801) 727-3102.

Contact Information

Primary practice address
575 E University Pkwy Ste E100 Orem UT 84097-7400
Phone: (801) 727-3102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X 9432999-9934 Utah

Profile Details

NPI number 1255894804
LBN Legal business name Hansen, Jacob
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2019
Last updated Aug 15th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers