Individual provider Active NPI

James Henry Hawley, O.D.

  • Optometrist
  • Rolling Hills Estates, CA
National Provider Identifier
1114061413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6945 Issued in CA
Practice address
827 Deep Valley Dr
Suite311
Rolling Hills Estates, CA 90274-3647
Phone
(310) 541-3411
Fax
(310) 541-6678
NPI assigned
Feb 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6945 CA Primary

Addresses

Primary practice location

827 Deep Valley Dr
Suite311
Rolling Hills Estates, CA 90274-3647

Mailing address

827 Deep Valley Dr
Suite311
Rolling Hills Estates, CA 90274-3647
Phone (310) 541-3411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000451 CA Practitioner - Optometry 9436115722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Palos Verdes Family VisionGroup PAC ID 6103882832, 4 clinicians

Practice addresses (Care Compare)

827 Deep Valley Dr
Suite 311
Rolling Hills Estates, CA 90274-3655
Phone (310) 541-3411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6945CAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palos Verdes Family Vision Optometrist CurrentSince Dec 8, 2004 Accepting new patients

Locations

827 Deep Valley Dr
Ste 311
Rolling Hills Estates, CA 90274
Phone (310) 540-3411

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114061413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR",
            "address_2": "SUITE311",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743647",
            "telephone_number": "310-541-3411",
            "fax_number": "310-541-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR",
            "address_2": "SUITE311",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743647",
            "telephone_number": "310-541-3411",
            "fax_number": "310-541-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.