Individual provider Active NPI

Hilary Lisa Hawthorne, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1245285113
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10080TLG Issued in CA
Practice address
8619 S Vermont Ave
Los Angeles, CA 90044-4827
Phone
(323) 778-7799
Fax
(323) 752-1959
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10080TLG CA Primary
Optometrist 152W00000X 10080 TPL CA

Addresses

Primary practice location

8619 S Vermont Ave
Los Angeles, CA 90044-4827

Mailing address

PO Box 45792
Los Angeles, CA 90045-0792
Phone (323) 778-7799

Other practice location 1

953 W 85th St
Los Angeles, CA 90044-4919
Phone (323) 778-7799

Other identifiers 13

IdentifierTypeStateIssuer
0686OtherCAGOLDEN WEST HEALTH PLAN
115406OtherCAEYE CARE PLAN OF AMERICA
12763-7799OtherCAMEDICAL EYE SERVICES
990014591OtherCAUNITED HEALTHCARE INS. CO
3987OtherCAFHP
4439OtherCACARE 1ST HEALTH PLAN
E335OtherCAEYE CARE ADMINISTRATORS
10080OtherCAFOUNDATION HEALTH
35493OtherCADAVIS VISION
43-39OtherCAAVESIS
13119OtherCAVISION BENEFITS OF AMERIC
705479OtherCAPACIFIC CARE CAMBRIDGE
SD010080MedicaidCA

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
I20100920000946 CA Practitioner - Optometry 8921123514

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Yehowa Medical ServicesGroup PAC ID 6103098124, 2 clinicians

Practice addresses (Care Compare)

1039 W Florence Ave
Los Angeles, CA 90044-2441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10080 TPLCAMDOptometrist
10080TLGCAMDOptometrist
10080CAMDAdult Health Nurse Practitioner

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1245285113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45792",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900450792",
            "telephone_number": "323-778-7799",
            "fax_number": "323-752-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444827",
            "telephone_number": "323-778-7799",
            "fax_number": "323-752-1959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "953 W 85th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900444919",
            "country_code": "US",
            "telephone_number": "323-778-7799",
            "fax_number": "323-752-1959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "HILARY",
        "middle_name": "LISA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10080TLG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10080 TPL",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLDEN WEST HEALTH PLAN",
            "identifier": "0686",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE CARE PLAN OF AMERICA",
            "identifier": "115406",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "12763-7799",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE INS. CO",
            "identifier": "990014591",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHP",
            "identifier": "3987",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE 1ST HEALTH PLAN",
            "identifier": "4439",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE CARE ADMINISTRATORS",
            "identifier": "E335",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOUNDATION HEALTH",
            "identifier": "10080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "35493",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "43-39",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERIC",
            "identifier": "13119",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC CARE CAMBRIDGE",
            "identifier": "705479",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD010080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.