Gary D Hawk, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE004898P Issued in PA

Practice address

1825 Downs Dr
Erie, PA 16509-7303

Phone

(814) 864-8617

Fax

(814) 860-3286

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Source Meadville, LLCGroup PAC ID 2668609850, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Vision Source Meadville, LLC

  • Optometrist
  • Meadville, PA
  • NPI 1134475007
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329609600000",
    "number": "1295890689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W MAIN ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541615",
            "telephone_number": "814-746-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 DOWNS DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165097303",
            "telephone_number": "814-864-8617",
            "fax_number": "814-860-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "GARY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2012-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE004898P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014504500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E. Hauk, DO
• Harry Louis Haus, MD
• Julie Ann Hauser, OD
• Robert F Haverly, M.D.
• Frederick C Havko, MD
• Jessica Brooke Hawken, MD
• Julia Marsh Hawkins, OTR/L
• Samantha A Hawley, CRNP
• Andrew David Hay, PT, DPT
• Brittany Hayden, PH.D.

• Optometrist in Erie, PA
• Providers in Erie, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2012; 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.

Verify at the official NPI Registry.