NPI 1013018100

Theodore Lester Hansen, OD

Practitioner Optometrist Minneapolis, MN

Practice location

Address: 115 East Lake St, Minneapolis, MN 55408
Phone: (612) 827-3857
Fax: (612) 827-7204

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2086 (MN)

Other Optometrist providers in Minnesota →

Registry record

NPI: 1013018100
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.