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Deactivated NPI 1568455160 Deactivated / Inactive NPI Male Practitioner

Dr. Roger Warren Hanson , OD

Optometrist • Winnebago, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roger Hanson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2005
NPI Deactivation Date August 28, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Hanson, OD was a registered Optometrist practicing in Winnebago, MN. Throughout an active medical career spanning 13 years, Dr. Hanson provided care at the practice location at 21 SO MAIN ST until profile deactivation on 2018-08-28.

Practice Location & Contact Primary Location

Practice Address

21 So Main St

Winnebago, MN 560980717

Telephone 5078934532
Fax 5078934854
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Winnebago, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Winnebago, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 1356

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 28, 2018

Record deactivated on August 28, 2018

NPI Profile Active April 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 19, 2011

Registered at 21 SO MAIN ST, WINNEBAGO, MN 560980717 (Tel: 5078934532)

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Updated Business Mailing Address April 19, 2011

Registered at PO BOX 717, WINNEBAGO, MN 560980717 (Tel: 5078934532)

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Provider Name / Credentials Updated April 19, 2011

Recorded as ROGER HANSON, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2011

Optometrist (License #1356 in MN)

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Initial NPI Registration & Enumeration August 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568455160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2005
Last Update: April 19, 2011
Deactivation Date: August 28, 2018

Mailing Address

Po Box 717

Winnebago, MN 560980717

Phone: 5078934532

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.