Provider Demographics
NPI:1952468266
Name:STEVE HANKINSON
Entity Type:Organization
Organization Name:STEVE HANKINSON
Other - Org Name:MONAHANS VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:432-943-3288
Mailing Address - Street 1:405 S MAIN AVE
Mailing Address - Street 2:#300
Mailing Address - City:MONAHANS
Mailing Address - State:TX
Mailing Address - Zip Code:79756-4516
Mailing Address - Country:US
Mailing Address - Phone:432-943-3288
Mailing Address - Fax:
Practice Address - Street 1:405 S MAIN AVE
Practice Address - Street 2:#300
Practice Address - City:MONAHANS
Practice Address - State:TX
Practice Address - Zip Code:79756-4516
Practice Address - Country:US
Practice Address - Phone:432-943-3288
Practice Address - Fax:432-943-2798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180912101Medicaid
TX0032FGOtherBCBS(MID GROUP)
TX00619ZMedicare ID - Type UnspecifiedGROUP
TX5505350001Medicare NSC