Hanson Group LLC

Optometrist · Rexburg, ID

Organization Active NPI

NPI number 1295006039

Practice location

24 E Main St
Rexburg, ID 83440-1927
Phone
(208) 356-0881

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NPI record

NPI
1295006039
Entity type
Organization (Type 2)
Enumeration date
January 25, 2012
Last updated
April 25, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X ODP-703 ID

Mailing address

PO Box 547
Rexburg, ID 83440-0547

Authorized official

Name
Douglass E Hanson, ODP
Title
Owner
Phone
(208) 356-0881

About Hanson Group LLC

Hanson Group LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 24 E Main St, Rexburg, ID 83440-1927. The NPI number 1295006039 was assigned on January 25, 2012 and the record was last updated on April 25, 2012.

Hanson Group LLC lists a license in the registry: #ODP-703 (ID) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Douglass E Hanson, ODP, Owner.

Frequently asked questions

What is the NPI number of Hanson Group LLC?

The NPI number is 1295006039.

What is the phone number of Hanson Group LLC?

The phone number listed for the practice location is (208) 356-0881.

Where is Hanson Group LLC located?

24 E Main St, Rexburg, ID 83440-1927.

What is the taxonomy code for Hanson Group LLC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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