Individual
DR. BRIAN DAVID HANSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
777 TANGLEFOOT LN, BETTENDORF, IA 52722-1650
(563) 323-2020
(563) 328-5694
Mailing address
777 TANGLEFOOT LN, BETTENDORF, IA 52722-1650
(563) 323-2020
(563) 328-5694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002466
IA
152WC0802X
Corneal and Contact Management Optometrist
002466
IA
152WL0500X
Low Vision Rehabilitation Optometrist
002466
IA
152WP0200X
Pediatric Optometrist
002466
IA
152WV0400X
Vision Therapy Optometrist
002466
IA
152WX0102X
Occupational Vision Optometrist
002466
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405007
—
IA
Enumeration date
07/02/2009
Last updated
03/04/2014
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