Individual
DR. ROCKY G HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
307 S FRANKLIN, GREENVILLE, MI 48838-1905
(616) 754-7143
(616) 754-2778
Mailing address
307 S FRANKLIN ST, GREENVILLE, MI 48838-1759
(616) 754-7143
(616) 754-2778
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002646
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01256
PRIORITY HEALTH
MI
05
—
943153415
—
MI
01
—
RH002646
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/07/2005
Last updated
02/07/2020
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