Dr. Douglass Eugene Hanson
Optomitrist - Corneal and Contact Lenses
24 E Main St
Rexburg
, Idaho 83440-1927
Dr. Douglass Eugene Hanson
Optomitrist - Corneal and Contact Lenses
24 E Main St
Rexburg
, Idaho 83440-1927
(208) 359-9680
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Douglass Eugene Hanson
- 24 E Main St Po Box 547
- Rexburg, ID
- Zip : 83440-1927
- Fax : (208) 359-9680
- Phone : (208) 356-0881
Second Address
- Dr. Douglass Eugene Hanson
- 24 E Main St
- Rexburg, ID
- Zip : 83440-1927
- Fax : (208) 359-9680
- Phone : (208) 356-0881
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | ODP 0703 | ID |
National Provider Identifier
| NPI | 1225178593 |
|---|---|
| Provider Name | Dr. Douglass Eugene Hanson |
| First Address | Rexburg, ID 83440-1927 |
| Second Address | Rexburg, ID 83440-1927 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2007 |
| Last Update Date | 25/04/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.