JACOB HANSEN, OD
Optometrist
Active
Individual
NPI: 1255894804
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Optometrist | 152W00000X | Yes | 9432999-9934 (UT) |
Frequently Asked Questions
NPI 1255894804 is the National Provider Identifier for JACOB HANSEN, OD, a Optometrist provider located in Spanish Fork, UT. This NPI was enumerated on April 10, 2019.
JACOB HANSEN, OD practices at 1295 N CANYON CREEK PKWY, Spanish Fork, UT 84660.
Quick Facts
- NPI
- 1255894804
- Type
- Individual
- Enumerated
- Apr 10, 2019
- Last Updated
- Oct 23, 2024
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