Christine Dorothy Hajduk, O.D.
Individual provider Active NPI Optometrist · Philadelphia, PA
NPI 1245301191 · NPPES record last updated Dec 18, 2024
Key facts
- NPI
- 1245301191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OET008945 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 36
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in PA, VA, NY, GA, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009964 | NY | MD | Mental Health Counselor |
| 27OA00534600 | NJ | MD | Optometrist |
| 27TO00067900 | NJ | MD | Optometrist |
| 0618003167 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center, Inc | Current |
Accepting new patients | |
| Myeyedr Optometry of Virginia PLLC | Optometrist | Current |
Accepting new patients |
| Valley Healthcare System Inc | Current | Accepting new patients | |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| 200 West Optics, LLC | Optometrist | Current |
Accepting new patients |
| Bernstein, Hilliker, Hartzell Eye Center, LLP | Optometrist | Current |
Accepting new patients |
| 200 West Optics, LLC | Optometrist | Current |
Accepting new patients |
| Visionworks, Inc | Current |
Accepting new patients | |
| Valley Healthcare System Inc | Current |
Accepting new patients | |
| Bernstein Hilliker Hartzell Eye Center LLP | Current |
Accepting new patients | |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Georgia LLC | Optometrist | Current |
Accepting new patients |
| Aeg Ohio Professional PC | Optometrist | Current |
Accepting new patients |
| Pine River Group LLC | Optometrist | Current |
Accepting new patients |
| Ejmvkk Associates Inc | Optometrist | Current |
Accepting new patients |
| Empire Vision Center Inc | Optometrist | Current |
Accepting new patients |
| Blake a Housler OD Inc | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current |
Accepting new patients |
| West Point Optical Group | Optometrist | Current |
Accepting new patients |
| Framebar Co LLC | Optometrist | Current |
Accepting new patients |
| Aeg Ohio Professional PC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Aeg Pennsylvania Professional Inc | Optometrist | Current |
Accepting new patients |
| Valley Healthcare System | Current |
Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current |
Accepting new patients |
| Eyelash Vision, LLC | Current |
Accepting new patients | |
| Sap Optical | Optometrist | Past | Accepting new patients |
| West Point Optical Group | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
Locations (25 of 62)
2610 Dawson Rd
Albany, GA 31707
Phone (229) 435-6776
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OET008945 | PA | Yes |
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01939054 | Medicaid | PA |
NPI Registry JSON
{
"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
- Hairs 2 U Wig Bank
- Hakneil Hairston
- Steven Arthur Haist
- Tanya Haj-Hassan
- Shqiponja Hajdinaj
- Jihane J Hajj
- Emily R Hajjar
- Genc Hajra
- Devon R Hake
- Abdulaziz Hakeem
All providers in Philadelphia, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.