NPI 1104267103

Tyler a Hanson, OD

Practitioner Optometrist Grand Island, NE

Practice location

Address: 420 N Diers Ave, Grand Island, NE 68803-4979
Phone: (308) 384-0220
Fax: (308) 382-1650

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1393 (NE)

Other Optometrist providers in Nebraska →

Registry record

NPI: 1104267103
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2013
Record last updated: 20 May 2014

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.