Michael W Hansen Od Inc

LBN: Michael W Hansen Od Inc
Michael W Hansen Od Inc is an health care organization with primary practice located at 2101 Rosecrans Ave Ste 1215, El Segundo CA 90245-4749. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Michael W Hansen Od Inc can be contacted via phone (310) 321-6990, or through Hansen, Michael via phone (310) 321-6990.

Contact Information

Primary practice address
2101 Rosecrans Ave Ste 1215 El Segundo CA 90245-4749
Phone: (310) 321-6990
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Michael Doctor of Optometry (OD)
Phone: (310) 321-6990

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT11354TPL California

Profile Details

NPI number 1811319478
LBN Legal business name Michael W Hansen Od Inc
DBA Doing business as
Authorized official Hansen, Michael Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2014
Last updated Jan 15th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811319478 NPPES
California Other OPT11354TPL LICENSE

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