DR. MARK ALLEN HANSON (NPI# 1255316956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255316956 |
| Entity Type | Individual |
| Full Name | DR. MARK ALLEN HANSON |
| Credential | O.D. |
| Practice Address |
127 Main St Black River Falls WI 54615-1769 |
| Mailing Address |
Po Box 220 Black River Falls WI 54615-0220 |
| Practice Telephone | 7152843111 |
| Mailing Telephone | 7152843111 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2011-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2876-035 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 19030 | 05 | |
| WI | 38626300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265594568 | Mark Bradley Hanson | Chiropractor | 215 Ohio Avenue, Iowa Falls, IA 50126 | 2006-12-14 |
| 1760551857 | Mark H Hanson | Dentist | 2000 Shady Lane, Green Bay, WI 54313-9311 | 2006-11-06 |
| 1730189903 | Mark Leonard Hanson | Chiropractor | 11441 N Stemmons Fwy Ste 241, Dallas, TX 75229-2251 | 2005-07-28 |
| 1962402412 | Mark Robert Hanson | Optometrist | 2351 W Lamar Blvd, Arlington, TX 76012-5669 | 2005-07-27 |
| 1780030387 | Mark Hanson | Counselor | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2016-05-12 |
| 1255504379 | Mark Hanson | Psychologist | 510 4th St S, Fargo, ND 58103-1914 | 2008-04-09 |
| 1003984386 | Mark Sullivan Hanson | Psychologist | 130 Centre St, Wadsworth Village, Hathorne House #4, Danvers, MA 01923-1400 | 2006-12-02 |
| 1396841987 | Mark Hanson | Family Medicine | 414 E Woodin Ave, Chelan, WA 98816-9648 | 2006-09-15 |
| 1548276256 | Mark J Hanson | Orthopaedic Surgery | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2006-08-01 |
| 1033124474 | Mark Allan Hanson | Dentist | 350 Mary St, Suite E, Punta Gorda, FL 33950-4564 | 2006-07-31 |
| Street Address |
127 MAIN ST |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615-1769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954465 | Laura Schroeder | Optometrist | 127 Main St, Black River Falls, WI 54615-1769 | 2015-06-17 |
| 1033414594 | Art of Optometry Ltd | Clinic/Center | 127 Main St, Black River Falls, WI 54615-1769 | 2011-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339118 | Lori Jean Mohring | Counselor | 420 Wi-54, Black River Falls, WI 54615 | 2017-11-13 |
| 1184095788 | Robert Anthony Zupancich | Pharmacist | 611 Hwy 54 East, Black River Falls, WI 54615 | 2015-10-08 |
| 1932545902 | Hera Jane Lonetree-rindahl | Counselor | W9850 Airport Rd, Black River Falls, WI 54615 | 2013-05-17 |
| 1902141344 | Mary Jane Jones | Pharmacist | 610 West Adams St., Black River Falls, WI 54615 | 2012-12-11 |
| 1285905844 | Vera Ellen Heubel | Registered Nurse | N6520 Lumber Jack Guy Road, Black River Falls, WI 54615 | 2012-01-13 |
| 1295048361 | Megan Ryan | Dentist | N6571 Lumberjack Guy Road, Black River Falls, WI 54615 | 2010-07-19 |
| 1912147828 | Evangeline M Suquet | Counselor | W9850 Airport Road, Black River Falls, WI 54615 | 2009-03-05 |
| 1407091192 | Holly Kay Rodenberg | Registered Nurse | N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 | 2008-12-09 |
| 1841467636 | Pamela Listle | Speech-Language Pathologist | 711 West Adams St., Black River Falls, WI 54615 | 2008-05-12 |
| 1285778969 | Black River Family Dentistry Ltd | Dentist | N6625 County Hwy A, Black River Falls, WI 54615 | 2007-02-16 |
| Find all providers in zip 54615 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578627139 | Robert Emery | Optometrist | Ho-chunk Health Care Center, N6520 Guy Road, Black River Falls, WI 54615 | 2006-12-20 |
| 1164517074 | Lori M Haun | Optometrist | N6520 Guy Road, Black River Falls, WI 54615 | 2006-10-04 |
| 1245236355 | Bruce A Lahmayer | Optometrist | 601 W Adams St, Black River Falls, WI 54615-9010 | 2005-06-23 |
| 1356704787 | Rachel Marie Lundberg | Optometrist | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2016-04-02 |
| 1679954465 | Laura Schroeder | Optometrist | 127 Main St, Black River Falls, WI 54615-1769 | 2015-06-17 |
| 1891102166 | Joseph John Lawrence | Optometrist | 611 State Highway 54, Black River Falls, WI 54615-5453 | 2014-07-17 |
| 1316293525 | Justin Dean Atherton | Optometrist | 601 W Adams St, Black River Falls, WI 54615-9010 | 2012-07-25 |
| 1972741353 | Foster Primary Eye Care Ltd | Optometrist | 2 E Main St, Black River Falls, WI 54615-1409 | 2009-01-23 |
| 1558426130 | Foster Primary Eye Care | Optometrist | 2 E Main St, Black River Falls, WI 54615-1409 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939288 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 2505 N Mayfair Rd Ste 100, Wauwatosa, WI 53226-1404 | 2020-07-15 |
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1891311775 | Elizabeth Carman Somers | Optometrist | 3621 Market Ln, Kenosha, WI 53144-1553 | 2020-06-17 |
| 1760008619 | Melanie Nielsen | Optometrist | S73w16437 Janesville Rd, Muskego, WI 53150-9723 | 2020-06-16 |
| 1487278479 | Alyssa Chrisman | Optometrist | 2910 Roosevelt Rd # D1, Marinette, WI 54143-5108 | 2020-06-04 |
| 1043859341 | Site 4 Eyes | Optometrist | 7245 S 76th St, Franklin, WI 53132-9041 | 2020-01-03 |
| 1932745163 | Mauston Family Eyecare, LLC | Optometrist | 205 Division St Ste A, Mauston, WI 53948-2110 | 2019-11-22 |
| 1114562345 | Dr Christopher D Smith & Associates LLC | Optometrist | 2665 Monroe Rd Ste 100, De Pere, WI 54115-9287 | 2019-11-12 |
| 1013564111 | Ayman Tabani | Optometrist | 9160 76th St Unit C, Kenosha, WI 53158-1945 | 2019-08-22 |
| 1104473537 | Espy Specs Sc | Optometrist | 2720 Golf Rd, Eau Claire, WI 54701-8011 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.