Individual provider Active NPI

Christine Dorothy Hajduk, O.D.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1245301191
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET008945 Issued in PA
Practice address
1601 S Columbus Blvd
Vision Center in Wal Mart
Philadelphia, PA 19148-1402
Phone
(215) 389-5814
NPI assigned
Nov 13, 2006
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OET008945 PA Primary
Optometrist 152W00000X OPT003613 GA
Optometrist 152W00000X 27TO00067900 NJ
Optometrist 152W00000X 27OA00534600 NJ
Optometrist 152W00000X 0618003167 VA

Addresses

Primary practice location

1601 S Columbus Blvd
Vision Center in Wal Mart
Philadelphia, PA 19148-1402

Mailing address

1626 S Newkirk St
Philadelphia, PA 19145-1208
Phone (215) 336-2801

Other identifiers 1

IdentifierTypeStateIssuer
01939054MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, NY, GA, DC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20070815000219 PA Practitioner - Optometry 7517918303 Reassigns benefits to 8 organizations
I20220920000497 VA Practitioner - Optometry 7517918303 Reassigns benefits to 2 organizations
I20240626002703 NY Practitioner - Optometry 7517918303 Reassigns benefits to 4 organizations
I20241023004931 GA Practitioner - Optometry 7517918303 Reassigns benefits to 3 organizations
I20260209004052 DC Practitioner - Optometry 7517918303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 NE 20TH St
Apt D305
Boca Raton, FL 33431-8119

5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009964NYMDMental Health Counselor
OPT003613GAMDOptometrist
27OA00534600NJMDOptometrist
27TO00067900NJMDOptometrist
OET008945PAMDOptometrist
0618003167VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Nov 1, 2023 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Feb 2, 2026 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jul 11, 2022 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jul 5, 2023 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist CurrentSince Sep 1, 2022 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Feb 2, 2026 Accepting new patients
Bernstein Hilliker Hartzell Eye Center LLP CurrentSince Feb 1, 2023 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Sep 19, 2024 Accepting new patients
Framebar Co LLC Optometrist CurrentSince May 1, 2025 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jul 11, 2022 Accepting new patients
Blake a Housler OD Inc Optometrist CurrentSince Sep 11, 2023 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Valley Healthcare System Inc CurrentSince Feb 1, 2025 Accepting new patients
Eyelash Vision, LLC CurrentSince Sep 5, 2017 Accepting new patients
Visionworks, Inc CurrentSince Nov 1, 2023 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 28, 2026 Accepting new patients
Empire Vision Center, Inc CurrentSince Jun 7, 2024 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Jun 7, 2024 Accepting new patients
Myeyedr Optometry of Georgia LLC Optometrist CurrentSince Sep 19, 2024 Accepting new patients
West Point Optical Group Optometrist CurrentSince Aug 8, 2023 Accepting new patients
Valley Healthcare System CurrentSince Feb 1, 2025 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Sep 15, 2023 Accepting new patients
Pine River Group LLC Optometrist CurrentSince May 1, 2026 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jul 5, 2023 Accepting new patients
Bernstein, Hilliker, Hartzell Eye Center, LLP Optometrist CurrentSince Feb 1, 2023 Accepting new patients
Valley Healthcare System Inc Current Accepting new patients
Ejmvkk Associates Inc Optometrist CurrentSince May 15, 2025 Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients
Sap Optical Optometrist Past Accepting new patients

Locations (25 of 62)

2610 Dawson Rd
Albany, GA 31707
Phone (229) 439-4687

3440 Wrightsboro Rd
Augusta, GA 30909
Phone (706) 733-0020

207 Chestnut St
Bremen, GA 30110
Phone (770) 537-5246

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

806 Dixie St
Carrollton, GA 30117
Phone (770) 834-2071

911 N 3rd Ave
Chatsworth, GA 30705
Phone (706) 695-4676

1600 Fort Benning Rd
Columbus, GA 31903
Phone (706) 322-9599

4521 17th Ave
Columbus, GA 31904
Phone (706) 660-0191

2032 Veterans Blvd
Ste A
Dublin, GA 31021
Phone (478) 272-3445

3801 Northside Dr
Macon, GA 31210
Phone (478) 475-1600

503 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 860-8899

1601 Macon Rd
Perry, GA 31069
Phone (478) 218-0404

1014 Northside Dr E
Statesboro, GA 30458
Phone (912) 764-9147

15196 US Highway 19 S
Thomasville, GA 31757
Phone (229) 228-4770

198 S Houston Lake Rd
Ste B
Warner Robins, GA 31088
Phone (478) 971-1500

2209 Memorial Dr
Waycross, GA 31501
Phone (912) 285-2021

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

2127 Crompond Rd
Ste 101
Cortlandt Mnr, NY 10567
Phone (914) 737-2020

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

2894 Long Beach Rd
Oceanside, NY 11572
Phone (516) 888-1038

10222 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 846-1144

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

1765 Central Park Ave
Yonkers, NY 10710
Phone (914) 961-1004

Organizations & group practices 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1245301191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 S NEWKIRK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191451208",
            "telephone_number": "215-336-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S COLUMBUS BLVD",
            "address_2": "VISION CENTER IN WAL MART",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481402",
            "telephone_number": "215-389-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJDUK",
        "first_name": "CHRISTINE",
        "middle_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET008945",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003613",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00067900",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00534600",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01939054",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.