DR. DAVID JOHN HANSEN (OD) – Optometrist, NPI 1710047865
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. DAVID JOHN HANSEN (OD)
10120 STONEBRIDGE TR
STILLWATER, MN 550829568
Phone: (651) 439-1335
Type: Mailing
406, Rosedale Shopping Center, Rosedale Center, Roseville, Ramsey County, Minnesota, 55113, United States
PEARLE VISION
ROSEVILLE, MN 55113
Phone: (651) 631-9394
Fax: (651) 631-9698
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-11-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120814000583 | I | Optometry | MN | TBD |
| I20191127000026 | I | Optometry | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 66 | 66 | $0 |
| 92004 | New patient complete exam of visual system | 55 | 55 | $0 |
| 92250 | Photography of the retina | 37 | 37 | $0 |
Insurance plans in this area (ZIP 55082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MN | |
| - | MN | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | MN | |
| Optometry, Ophthalmology | IN | |
| - | WI | |
| O P T O M E T R Y | MN |
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