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NPI Code Detail

MEDICARE: VICTORIA HANSEN O.D.

MEDICARE:   VICTORIA  HANSEN  O.D.
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
1152W00000XOptometristTUV008508NY

General Provider Information

NPI Number : 1740631795
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA HANSEN O.D.
Provider Business Mailing Address
First Line : 183 HEALY BLVD
Second Line :
City : HUDSON
State : NY
Zip : 12534-1509
Country : US
Telephone Number : 914-737-4400
Fax Number :
Provider Business Practice Location Address
First Line : 183 HEALY BLVD
Second Line :
City : HUDSON
State : NY
Zip : 12534-1509
Country : US
Telephone Number : 518-828-8733
Fax Number : 518-828-4898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2016
Last Update Date : 12/03/2024

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Directions to “ VICTORIA HANSEN O.D.” Practice Location

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