Organization Active NPI

John Hawley Optometric Corporation

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1295926939
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8487T Issued in CA
Legal business name
JOHN HAWLEY OPTOMETRIC CORPORATION
Practice address
3911 Coffee Rd Ste B
Bakersfield, CA 93308-5024
Phone
(661) 588-8222
Fax
(661) 588-0222
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Dr. John Farlan Hawley, OD
Title
Owner
Phone
(661) 588-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8487T CA Primary

Addresses

Primary practice location

3911 Coffee Rd Ste B
Bakersfield, CA 93308-5024

Mailing address

3911 Coffee Rd Ste B
Bakersfield, CA 93308-5024
Phone (661) 588-8222

Other names 1

  • Premier Eyecare Optometric Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071108000324 CA Part B Supplier - Clinic/Group Practice 9739277740 Receives reassigned benefits from 4 practitioners
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

3911 Coffee Rd
#B
Bakersfield, CA 93308
Phone (661) 588-0222

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1295926939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 COFFEE RD STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085024",
            "telephone_number": "661-588-8222",
            "fax_number": "661-588-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 COFFEE RD STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085024",
            "telephone_number": "661-588-8222",
            "fax_number": "661-588-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN HAWLEY OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "HAWLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FARLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-588-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8487T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Eyecare Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.