MEDICARE: SARAH BEHLES HANSON OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	800	SD

General Provider Information

NPI Number	:	1326726217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BEHLES HANSON OD

Provider Business Mailing Address
First Line	:	3310 ROUGHLOCK LN
Second Line	:
City	:	SPEARFISH
State	:	SD
Zip	:	57783-9592
Country	:	US
Telephone Number	:	701-897-1257
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 HARMON ST
Second Line	:
City	:	STURGIS
State	:	SD
Zip	:	57785-2556
Country	:	US
Telephone Number	:	605-347-2666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	02/13/2024

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