Healthcare Provider Details

I. General information

NPI: 1083754378
Provider Name (Legal Business Name): KARA HANSON OD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10170 E MISSISSIPPI AVE ALLCARE BUILDING
DENVER CO
80247-2418
US

IV. Provider business mailing address

10170 E MISSISSIPPI AVE ALLCARE BUILDING
DENVER CO
80247-2418
US

V. Phone/Fax

Practice location:
  • Phone: 303-388-7000
  • Fax:
Mailing address:
  • Phone: 303-388-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number2473
License Number StateCO

VIII. Authorized Official

Name: KARA HANSON
Title or Position: PRESIDENT
Credential: OD
Phone: 303-388-7000