Provider Demographics
NPI:1487154126
Name:TOTTEN, HANNAH KAY (OD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:KAY
Last Name:TOTTEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:HANNAH
Other - Middle Name:KAY
Other - Last Name:RILLEMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:5549 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49461-9464
Mailing Address - Country:US
Mailing Address - Phone:231-286-1038
Mailing Address - Fax:
Practice Address - Street 1:442 W WESTERN AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49440-1110
Practice Address - Country:US
Practice Address - Phone:231-722-3556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-20
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005103152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist