Hansen, Michael Wayne

Hansen, Michael Wayne is an individual health care provider with primary practice located at 310 Avenue I , Redondo Beach CA 90277-5601. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hansen, Michael Wayne can be contacted via phone (310) 373-3191.

Contact Information

Primary practice address
310 Avenue I Redondo Beach CA 90277-5601
Fax: (310) 373-3979
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11354TPL California
Eye and Vision Services Providers / Optometrist 152W00000X OPC3895 Florida

Profile Details

NPI number 1669465035
LBN Legal business name Hansen, Michael Wayne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Sep 5th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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