Provider Demographics
NPI:1245750785
Name:POWERS, HANNAH M (OD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:M
Last Name:POWERS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 CROSS VALLEY CIR
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-5238
Mailing Address - Country:US
Mailing Address - Phone:812-401-7777
Mailing Address - Fax:812-429-0392
Practice Address - Street 1:634 CROSS VALLEY CIR
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-5238
Practice Address - Country:US
Practice Address - Phone:812-401-7777
Practice Address - Fax:812-429-0392
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18004033A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist