DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO) – Optometrist, NPI 1407293061

DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO) is a healthcare provider. based in Minneapolis, Minnesota. specializing in OPTOMETRY. They hold the professional credentials JD, OD, FAAO. They hold a License No. 3331 (MN). The NPI Number for DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO) is 1407293061

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO)
NPI
1407293061
Phone
(612) 722-1003
Address
4323 E LAKE ST
Enumeration Date
22 May 2013
Last Update Date
26 October 2016

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
6127221003
Graduation Year
2013 (13 years ago)
PAC ID
5395984769
Group Practice PAC ID
3173749322
Professional Enrollment ID
I20130614000305
Address ID
MN554062307MI4323XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO)

  • 4323 E LAKE ST

    MINNEAPOLIS, MN 554062307

    Phone: (612) 722-1003

    Fax: (612) 721-6336

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $601.

Total Amount is formed as General ($601) + Research ($0) + Ownership ($0) = $601.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: CooperVision Inc. ($98).

Total Amount

$601

General + Research + Ownership

Payments

23

Total payment records

General Amount

$601

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130614000305IOptometryMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83861Microfluid analysis of tears35288$0
92285Photography of content of eyes16079$0
92250Photography of the retina9863$0
99214Established patient office or other outpatient visit, 30-39 minutes9857$0
92083Exam of visual field with extended testing7248$0
View full utilization report →

Insurance plans in this area (ZIP 55406)

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Provider's Procedures

DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMN92083Measurement of field of vision during daylight conditions5638

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173749322View full group profile
NameSpecialtyState
O P T O M E T R YMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

Can I verify DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO) with an NPI only?
You can start verification with NPI 1407293061 for DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO), then check state licensing separately.
Does the file indicate DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO) is practicing under active NPI?
Directory data currently reports DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO) as active.
What is DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO)'s primary classification?
Optometrist is the headline specialty for DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO) here. Clinical services aligned with this taxonomy classification.
Where is DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO) based?
DR. JOSHUA JESSIE DEWAR SMITH HANEN (JD, OD, FAAO) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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