Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Joshua Jessie Dewar Smith Hanen, JD, OD, FAAO

Individual provider Optometrist · NPI 1407293061

Dr. Joshua Jessie Dewar Smith Hanen, JD, OD, FAAO is an Optometry in Minneapolis, Minnesota. Graduated from Ferris State College - College of Optometry in 2013, 13 years ago. Practices with River Lake Clinic LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
13
Trained at
Ferris State College - College of Optometry
Licensed in
MN
In the registry since
2013
Specialties on file
7
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4323 E Lake St
Minneapolis, MN 55406-2307
Phone: (612) 722-1003
Fax: (612) 721-6336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3331 (MN)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 3331 (MN)
Low Vision Rehabilitation Optometrist Taxonomy 152WL0500X · Licence 3331 (MN)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 3331 (MN)
Sports Vision Optometrist Taxonomy 152WS0006X · Licence 3331 (MN)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence 3331 (MN)
Occupational Vision Optometrist Taxonomy 152WX0102X · Licence 3331 (MN)

Record details

NPI number1407293061
Entity typeIndividual (Type 1)
GenderMale
Credentials JD , OD , FAAO
Sole proprietorNo
NPI enumeratedMay 22, 2013
Last updated in NPPESOctober 26, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated 2013 (13 years in practice)
Group practice River Lake Clinic Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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