Individual
DR. ALISON D. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4606 E 67TH ST, #400, TULSA, OK 74136-4943
(918) 481-2796
(918) 481-2785
Mailing address
4606 E 67TH ST, #400, TULSA, OK 74136-4943
(918) 481-2796
(918) 481-2785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2362
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100735860A
MEDICAID GROUP
OK
01
—
1447244827
NPI GROUP
OK
05
—
200002500B
—
OK
01
—
800522449
MEDICARE GROUP #
OK
Enumeration date
08/03/2006
Last updated
12/08/2008
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