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KENNETH DAVID HANSEN O.D.
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1316159940
Individual Registrant: KENNETH DAVID HANSEN O.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
15936 E HIGHWAY 40 SILVER SPRINGS, FL 34488-5144 US
Tel: 352-625-0135 Fax: --
Tel: 352-625-0135 Fax: --
Contact information for business:
3705 SE 48TH ST OCALA, FL 34480-7385 US
Tel: 352-622-3711 Fax: --
Tel: 352-622-3711 Fax: --
Registration Information:
NPI: 1316159940
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | FL | OPC 1542 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
