Active NPI
Christine Dorothy Hajduk, O.D.
- Optometrist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OET008945
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01939054 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, VA, NY, GA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 5
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009964 | NY | MD | Mental Health Counselor |
| OPT003613 | GA | MD | Optometrist |
| 27OA00534600 | NJ | MD | Optometrist |
| 27TO00067900 | NJ | MD | Optometrist |
| OET008945 | PA | MD | Optometrist |
| 0618003167 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| 200 West Optics, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, 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 |
| 200 West Optics, LLC | Optometrist | Current | Accepting new patients |
| Bernstein Hilliker Hartzell Eye Center LLP | Current | Accepting new patients | |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Framebar Co LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Blake a Housler OD Inc | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Valley Healthcare System Inc | Current | Accepting new patients | |
| Eyelash Vision, LLC | Current | Accepting new patients | |
| Visionworks, Inc | Current | Accepting new patients | |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia LLC | Optometrist | Current | Accepting new patients |
| West Point Optical Group | Optometrist | Current | Accepting new patients |
| Valley Healthcare System | Current | Accepting new patients | |
| Aeg Pennsylvania Professional Inc | Optometrist | Current | Accepting new patients |
| Pine River Group LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Aeg Ohio Professional PC | Optometrist | Current | Accepting new patients |
| Bernstein, Hilliker, Hartzell Eye Center, LLP | Optometrist | Current | Accepting new patients |
| Valley Healthcare System Inc | Current | Accepting new patients | |
| Ejmvkk Associates Inc | Optometrist | Current | 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.
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Optometrist
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- Optometrist
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- NPI 1295384139
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.