Search › Utah › 152W00000X
Jacob Hansen, OD
NPI 1255894804 · on the registry since 2019
Practice
- Address
- 1295 N Canyon Creek Pkwy
Spanish Fork, UT 84660 - Phone
- (801) 504-9645
- Organisation at this address
- National Vision Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 390200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah