| Sally Elizabeth Hansen, OD | |
|
590 Harbor St, Morro Bay, CA 93442-1904 | |
| (805) 772-1269 | |
| (805) 772-2172 |
| Full Name | Sally Elizabeth Hansen |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 590 Harbor St, Morro Bay, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770951048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT 15416 TLG (California) | Primary |
| Provider Name | Elite Eyecare Medical Group A Medical Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437117231 PECOS PAC ID: 5597715391 Enrollment ID: O20050128000937 |
| Provider Name | Advanced Family Vision Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043488547 PECOS PAC ID: 2961550231 Enrollment ID: O20090427000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Elizabeth Hansen, OD 363 Town Ctr E, Ste G-73, Santa Maria, CA 93454-5159 Ph: (805) 932-8192 | Sally Elizabeth Hansen, OD 590 Harbor St, Morro Bay, CA 93442-1904 Ph: (805) 772-1269 |
Dr. Leia Michelle Dumlao Ballesteros, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 590 Harbor St, Morro Bay, CA 93442 Phone: 805-772-1269 Fax: 805-772-2172 | |
Tiffany Smart, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 590 Harbor St, Morro Bay, CA 93442 Phone: 805-772-1269 Fax: 805-772-2172 | |
Dr. Nadine L Norris, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 Quintana Rd, Suite 1d, Morro Bay, CA 93442 Phone: 805-772-6166 Fax: 805-772-5128 | |
Dr. Tiffany Tyler Smart, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 590 Harbor St, Morro Bay, CA 93442 Phone: 805-772-1269 Fax: 805-772-2172 |