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HANSON- MORAN EYE CLINIC PC NPI 1831375369


NPI Information

NPI: 1831375369
Provider Name: HANSON- MORAN EYE CLINIC PC

Doing Business As: WATERTOWN OPTICAL COMPANY

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
705 14TH AVE NE
WATERTOWN, SD
ZIP 57201
Phone: (605) 886-7874
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HANSON- MORAN EYE CLINIC PC is an eyewear supplier in Watertown, SD. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. HANSON- MORAN EYE CLINIC PC NPI is 1831375369. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Watertown Optical Company.

The provider's business location address is:

705 14TH AVE NE
WATERTOWN, SD
ZIP 57201-827
Phone: (605) 886-7874
Fax: (605) 886-7723

The provider's authorized official is Michael J Moran .
The authorized official title is Owner Ophthalmogist and has the following contact phone number (605) 886-7722.

The enumeration date for this NPI number is 1/15/2008 and was last updated on 6/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology4579SOUTH DAKOTANo
2332H00000XEyewear Supplier4579SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14305930001MEDICARE NSCSOUTH DAKOTA
29280242MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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