Individual provider Active NPI

Samantha Rao Hawkins, O.D.

  • Corneal and Contact Management Optometrist
  • Milford, CT
National Provider Identifier
1346690526
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
003025 Issued in CT
Practice address
88 Noble Ave Ste 105
Milford, CT 06460-4738
Phone
(203) 693-7333
NPI assigned
Jun 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 003025 CT Primary
Optometrist 152W00000X 003025 CT

Addresses

Primary practice location

88 Noble Ave Ste 105
Milford, CT 06460-4738

Mailing address

88 Noble Ave Ste 105
Milford, CT 06460-4738
Phone (203) 693-7333

Other practice location 1

5065 Main St
Trumbull, CT 06611-4204
Phone (203) 577-8347

Other practice location 2

431 Post Rd E
Westport, CT 06880-4446
Phone (203) 577-8347

Other identifiers 1

IdentifierTypeStateIssuer
008106134MedicaidCT

Other names 1

  • Samantha Rao Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240522002841 CT Practitioner - Optometry 9032483516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Bright Eyes LLCGroup PAC ID 4789026709, 3 clinicians

Practice addresses (Care Compare)

88 Noble Ave
Suite 105
Milford, CT 06460-4738
Phone (203) 693-7333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Eyes LLC Optometrist CurrentSince Apr 15, 2024 Accepting new patients
Visione Inc Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Cohen's Fashion Optical PastSince Mar 1, 2023 Accepting new patients
The Connecticut Dermatology Group PLLC PastSince Feb 1, 2024 Accepting new patients

Locations

88 Noble Ave
Ste 105
Milford, CT 06460
Phone (203) 693-7333

431 Post Rd E
Westport, CT 06880
Phone (203) 257-4786

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1346690526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 NOBLE AVE STE 105",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604738",
            "telephone_number": "203-693-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 NOBLE AVE STE 105",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604738",
            "telephone_number": "203-693-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5065 Main St",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066114204",
            "country_code": "US",
            "telephone_number": "203-577-8347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "431 Post Rd E",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068804446",
            "country_code": "US",
            "telephone_number": "203-577-8347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO HAWKINS",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "003025",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "003025",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008106134",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "RAO",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.