MEDICARE: KARA 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	152WL0500X	Low Vision Rehabilitation Optometrist	2473	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710980172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA HANSON OD

Provider Business Mailing Address
First Line	:	PO BOX 110429
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80042-0429
Country	:	US
Telephone Number	:	303-493-7000
Fax Number	:	303-493-7202

Provider Business Practice Location Address
First Line	:	1675 AURORA CT
Second Line	:	MAIL STOP F731
City	:	AURORA
State	:	CO
Zip	:	80045-2517
Country	:	US
Telephone Number	:	720-848-2020
Fax Number	:	303-848-5014

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	01/24/2013

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