| Michael W Hansen Od Inc | |
|
2101 Rosecrans Ave, Ste 1215, El Segundo, CA 90245-4749 | |
| (310) 321-6990 | |
| Not Available |
| Full Name | Michael W Hansen Od Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2101 Rosecrans Ave, El Segundo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811319478 | NPI | - | NPPES |
| OPT11354TPL | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT11354TPL (California) | Primary |
| Provider Name | Michael Wayne Hansen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669465035 PECOS PAC ID: 2860487022 Enrollment ID: I20040416001222 |
| Provider Name | Courtney Hongo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235786633 PECOS PAC ID: 7315343951 Enrollment ID: I20210908001270 |
| Provider Name | Sophia Lam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386363711 PECOS PAC ID: 5991173510 Enrollment ID: I20221201001223 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W Hansen Od Inc 2101 Rosecrans Ave, Ste 1215, El Segundo, CA 90245-4749 Ph: (310) 321-6990 | Michael W Hansen Od Inc 2101 Rosecrans Ave, Ste 1215, El Segundo, CA 90245-4749 Ph: (310) 321-6990 |
Dr. Eileen Joyce Bell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 302 W Grand Ave, Ste 1, El Segundo, CA 90245 Phone: 310-414-9595 Fax: 310-414-0137 | |
Eileen J. Bell Optometrist Medicare: Not Enrolled in Medicare Practice Location: 302 W Grand Ave, Suite #1, El Segundo, CA 90245 Phone: 310-414-9595 Fax: 310-414-0137 | |
Dr. Jennifer Aslam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 302 W Grand Ave Ste 1, El Segundo, CA 90245 Phone: 310-414-9595 Fax: 310-414-0137 | |
Dr. Jeffrey Ellis Marshak, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 390 N Sepulveda Blvd, Suite# 1100, El Segundo, CA 90245 Phone: 310-641-1700 Fax: 310-535-2155 | |
Christopher J. Orenic Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2101 Rosecrans Ave, Suite 1215, El Segundo, CA 90245 Phone: 310-321-6990 Fax: 310-321-6170 | |
El Segundo Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 302 W Grand Ave Ste 1, El Segundo, CA 90245 Phone: 310-414-9595 Fax: 310-414-0137 | |
Eyes On Pch Optometry A Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 630 N Pacific Coast Hwy Ste 8a, El Segundo, CA 90245 Phone: 310-565-2811 Fax: 310-695-1520 |