DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SALLY HANSEN OPTOMETRIST PROFESSIONAL CORPORATION

MEDICARE: SALLY HANSEN OPTOMETRIST PROFESSIONAL CORPORATION
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1518794916
Entity Type Code : Organization
Provider Name (Legal Business Name) : SALLY HANSEN OPTOMETRIST PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 771 DOLLIVER ST REAR APT
Second Line :
City : PISMO BEACH
State : CA
Zip : 93449-2622
Country : US
Telephone Number : 805-235-0310
Fax Number :
Provider Business Practice Location Address
First Line : 2220 S BRADLEY RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-1348
Country : US
Telephone Number : 805-928-9560
Fax Number :
Authorized Official
Title or Position : OD
Name : SALLY HANSEN
Credential :
Telephone Number : 805-709-2433
Provider Enumeration Date : 09/18/2024
Last Update Date : 06/15/2026

Similar Medicare Providers

1801841275 — NATIONAL VISION, INC.
Practice Location Address:
2220 S BRADLEY RD
SANTA MARIA, CA
93455-1348
Practice Phone: 805-928-9560
Practice Fax:
1780601195 — WALMART INC.
Practice Location Address:
2220 S BRADLEY RD
SANTA MARIA, CA
93455-1348
Practice Phone: 805-349-1192
Practice Fax: 805-349-0223
1386824654 — FIRSTSIGHT VISION SERVICES, INC.
Practice Location Address:
2220 S BRADLEY RD
SANTA MARIA, CA
93455-1348
Practice Phone: 805-925-4794
Practice Fax: 805-922-4137
1184985467 — DR. ANTHONY PATON PHARM.D.
Practice Location Address:
2220 S BRADLEY RD
SANTA MARIA, CA
93455-1348
Practice Phone: 805-349-1192
Practice Fax:
1982952941 — WALMART INC.
Practice Location Address:
2240 S BRADLEY RD
SANTA MARIA, CA
93455-1348
Practice Phone: 805-348-4956
Practice Fax: 805-348-4952
1366851404 — DR. SHARI GJERDRUM PHARMD
Practice Location Address:
2220 S BRADLEY RD
SANTA MARIA, CA
93455-1348
Practice Phone: 805-349-1192
Practice Fax: 805-349-8930

Directions to “SALLY HANSEN OPTOMETRIST PROFESSIONAL CORPORATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.