DR. EMILY JEAN TULLY-HANSON OD, MS
NPI 1033966775
Optometrist in Santa Ana, CA

Q: What is Emily Tully-hanson's NPI number?

The NPI number for Emily Tully-hanson is 1033966775. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Q: What is Emily Tully-hanson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 01, 2024PECOS EnrolledAccepts Medicare Assignment

1595 E 17TH ST, SANTA ANA, CA 92705(714) 984-0788 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2025, Jun 20, 2024, May 1, 2024 (3 updates tracked since 2024).

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About Dr. Emily Jean Tully-hanson Od, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMILY JEAN TULLY-HANSON OD, MS (NPI 1033966775) is an individual optometrist in Santa Ana, California, licensed in California (35682) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Huntington Beach, and is a graduate of Southern California College Of Optometry (2024).

NPPES Registry Identity

NPI1033966775

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. EMILY JEAN TULLY-HANSONCredential: OD, MS

Location Address1595 E 17TH STSanta Ana, CA 92705-8506

Mailing Address14726 Ramona Ave Ste 203Chino, CA 91710-5730 · (626) 305-9100 · Fax (626) 305-0152

Phone(714) 984-0788

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 2024

Enumeration DateMay 1, 2024

Last NPPES UpdateSeptember 22, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2025

✔ NPI 1033966775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 35682

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1595 E 17TH ST, Santa Ana, CA 92705

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Secondary Practice Location 1

Location 17677 Center Ave Ste 301Huntington Beach, CA 92647-3049 · Phone (714) 901-2007

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Emily Jean Tully-hanson Od, Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294272621

PECOS Enrollment IDI20240802003590

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emily Tully-hanson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Azul Vision Inc.

30 mi

Ophthalmology

2619 E COLORADO BLVD # 150
Pasadena, CA 91107

Reassigned Medicare billing, California enrollment
70 clinicians in this Medicare group

NPI 1285247528 (626) 793-4168

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY LA

Optometrist

1595 E 17TH ST
SANTA ANA, CA 92705

Orange County (714) 984-0788

EYECARE SPECIALISTS MEDICAL GROUP, INC.

Ophthalmology

1595 E 17TH ST
SANTA ANA, CA 92705

Orange County (714) 984-0788

DR. ERIQ PAUL PLECHOT OD

Optometrist

1595 E 17TH ST
SANTA ANA, CA 92705

Orange County (714) 984-0788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Tully-hanson's NPI number?

The NPI number for Emily Tully-hanson is 1033966775. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is Emily Tully-hanson located?

Emily Tully-hanson practices at 1595 E 17th St, Santa Ana, CA 92705. The listed phone number is (714) 984-0788.

What is Emily Tully-hanson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Emily Tully-hanson enrolled in Medicare?

Yes. Emily Tully-hanson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Emily Tully-hanson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Tully-hanson reassigns Medicare benefits to Azul Vision Inc. (Pasadena, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Tully-hanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Tully-hanson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Emily Tully-hanson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emily Tully-hanson was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.