Michael Wayne Hansen, OD | |
310 Avenue I, Redondo Beach, CA 90277-5601 | |
(310) 373-3191 | |
(310) 373-3979 |
Full Name | Michael Wayne Hansen |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 24 Years |
Location | 310 Avenue I, Redondo Beach, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669465035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 11354TPL (California) | Primary |
152W00000X | Optometrist | OPC3895 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michael W Hansen Od Inc | 3577768399 | 3 |
Provider Name | Michael W Hansen Od Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811319478 PECOS PAC ID: 3577768399 Enrollment ID: O20140527001388 |
Mailing Address | Practice Location Address |
---|---|
Michael Wayne Hansen, OD 310 Avenue I, Redondo Beach, CA 90277-5601 Ph: (310) 373-3191 | Michael Wayne Hansen, OD 310 Avenue I, Redondo Beach, CA 90277-5601 Ph: (310) 373-3191 |
Deborah Carrasco, OD Optometrist Medicare: Medicare Enrolled Practice Location: 520 N Prospect Ave Ste 206, Redondo Beach, CA 90277 Phone: 310-376-8850 Fax: 310-798-9228 | |
Eyecare Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1760 S Pacific Coast Hwy, Redondo Beach, CA 90277 Phone: 310-540-3787 | |
Sarah Frassato, O.d., A Professional Optometric Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 249 Avenida Del Norte, Redondo Beach, CA 90277 Phone: 312-804-8726 | |
Ann M Clark, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1760 S Pacific Coast Hwy, Redondo Beach, CA 90277 Phone: 310-540-2970 | |
Dr. Natalie Justina Skokandic, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1815 Hawthorne Blvd Ste 236, Redondo Beach, CA 90278 Phone: 310-370-1618 | |
Benjamin Fouladian, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 403 N Pacific Coast Hwy, #108, Redondo Beach, CA 90277 Phone: 310-318-6665 Fax: 310-318-7117 | |
Dr. Peter B Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4518 186th St, #110, Redondo Beach, CA 90278 Phone: 315-725-3601 Fax: 315-725-5442 |