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
Phone: (310) 373-3191
Fax: (310) 373-3979
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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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