Organization
MARK R HANSON OD PA
Active
Other names
Insight Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R HANSON O.D., P.A. (OPTOMETRIST)
(817) 861-2020
Entity
Organization
Contact information
Practice address
2351 W LAMAR BLVD, ARLINGTON, TX 76012
(817) 861-2020
(817) 274-0747
Mailing address
2351 W LAMAR BLVD, ARLINGTON, TX 76012
(817) 861-2020
(817) 274-0747
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3043TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5332290001
DMERC
TX
Enumeration date
12/13/2007
Last updated
12/13/2007
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