Dr Terry Milo Hansen, OD | |
2828 West 4700 South, Suite D, West Valley City, UT 84118 | |
(801) 966-6201 | |
(801) 966-6609 |
Full Name | Dr Terry Milo Hansen |
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Gender | Male |
Speciality | Optometrist |
Location | 2828 West 4700 South, West Valley City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417028952 | NPI | - | NPPES |
519520390009 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1040 (Washington) | Secondary |
152W00000X | Optometrist | 109507-9934 (Utah) | Primary |
152W00000X | Optometrist | 109507-8908 (Utah) | Secondary |
Provider Name | Terry M Hansen Od Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104150770 PECOS PAC ID: 1850439209 Enrollment ID: O20091105000324 |
Mailing Address | Practice Location Address |
---|---|
Dr Terry Milo Hansen, OD 2828 West 4700 South, Suite D, West Valley City, UT 84118 Ph: (801) 966-6201 | Dr Terry Milo Hansen, OD 2828 West 4700 South, Suite D, West Valley City, UT 84118 Ph: (801) 966-6201 |
Christopher Mark Troxel, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3620 W 3500 S, West Valley City, UT 84120 Phone: 801-966-9975 Fax: 801-963-3900 | |
Ngoc Judy Tran, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2731 S 5600 W Ste E, West Valley City, UT 84120 Phone: 385-324-5641 | |
Mrs. Jeannette Pontiero Meandzija, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2727 W 3500 S, West Valley City, UT 84119 Phone: 801-968-6772 | |
Dr. Shawn D Beagley Optometrist Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 3747 S 2700 W, West Valley City, UT 84119 Phone: 801-996-9021 | |
Mountain West Eyecare Inc Optometrist Medicare: Medicare Enrolled Practice Location: 2727 W 3500 S, West Valley City, UT 84119 Phone: 801-968-6772 Fax: 801-968-6771 | |
Dr. Bryan O'dell Frandsen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3029 S Colt Plaza Dr, West Valley City, UT 84128 Phone: 801-968-6772 | |
Bethany Ruth Gillett, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3029 S Colt Plaza Dr Ste 1, West Valley City, UT 84128 Phone: 801-968-6772 Fax: 801-968-6771 |