Ryan Hansen, OD

Optometrist · Roscoe, IL

Individual Active NPI

NPI number 1407386667

Practice location

4775 E Rockton Rd Unit a
Roscoe, IL 61073-9076
Phone
(815) 242-9886
Fax
(815) 242-9809

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NPI record

NPI
1407386667
Entity type
Individual (Type 1)
Enumeration date
June 19, 2017
Last updated
July 19, 2021
Certified
July 19, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 046-011291 IL

Other practice locations (1)

  • 1603 N Alpine Rd Ste 121, Rockford, IL 61107-1439 · (815) 397-5959

About Dr. Hansen

Ryan Hansen, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4775 E Rockton Rd Unit a, Roscoe, IL 61073-9076. The NPI number 1407386667 was assigned on June 19, 2017 and the record was last updated on July 19, 2021.

Dr. Hansen lists a license in the registry: #046-011291 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Hansen, OD?

The NPI number is 1407386667.

What is the phone number of Dr. Hansen?

The phone number listed for the practice location is (815) 242-9886.

Where is Dr. Hansen located?

4775 E Rockton Rd Unit a, Roscoe, IL 61073-9076.

What is the taxonomy code for Dr. Hansen?

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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