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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOSHUA JESSIE DEWAR SMITH HANEN, JD, OD, FAAO

Active

DR. JOSHUA JESSIE DEWAR SMITH HANEN, JD, OD, FAAO is a Optometrist healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1407293061 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MINNEAPOLIS, MN

Registration Details

NPI Number
1407293061
Provider Type
Individual
Gender
Male
NPI Issued
May 22, 2013 (13.245785174079 yrs)
Last Updated
Oct 26, 2016
Licenses
3331 (MN)
3331 (MN)
3331 (MN)
3331 (MN)
3331 (MN)

Practice Information

Address
4323 E LAKE ST
MINNEAPOLIS, MN, 554062307
Browse MN providers · Browse ZIP 55406
Phone
6127221003
Fax
6127216336
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Pediatric Optometrist
Additional Specialty
Sports Vision Optometrist

Other Optometrist Providers in MINNEAPOLIS, MN

Name Credential NPI
MARK A TORGERSON OD 1811989544
DR. DAVID N WARSHAWSKY O.D. 1699768127
DR. EDWIN H GLUR OD 1871581850
MARK L. EDSON O.D. 1326024514
DR. LINDA M CHOUS OD 1205814134
CAROL H JOHNSON OD 1073591939
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.