Organization
HANSEN VISION CENTER PLC
Active
Other names
Hansen Vision Center PLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY HANSEN (OFFICE)
(616) 754-7143
Entity
Organization
Contact information
Practice address
307 S FRANKLIN, GREENVILLE, MI 48838-1905
(616) 754-7143
(616) 754-2778
Mailing address
307 S FRANKLIN, GREENVILLE, MI 48838-1905
(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
01
—
900E97604
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/07/2006
Last updated
09/15/2012
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