Individual provider Active NPI

Chelsey Johnson Hawks, O.D.

  • Optometrist
  • Paducah, KY
National Provider Identifier
1407300718
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2029DT Issued in KY
Practice address
2559 New Holt Rd
Paducah, KY 42001-7503
Phone
(270) 558-4741
Fax
(270) 558-4742
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2029DT KY Primary

Addresses

Primary practice location

2559 New Holt Rd
Paducah, KY 42001-7503

Mailing address

2559 New Holt Rd
Paducah, KY 42001-7503
Phone (270) 558-4741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170221002153 KY Practitioner - Optometry 3971887811 Reassigns benefits to 1 organization
I20210113001295 IL Practitioner - Optometry 3971887811

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West End Eye Care LTDGroup PAC ID 2961622386, 2 clinicians

Practice addresses (Care Compare)

2559 New Holt Rd
Paducah, KY 42001-7503
Phone (270) 558-4741

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eubanks & Daugherty, LLC Optometrist CurrentSince Oct 1, 2020 Accepting new patients
West End Eye Care, LTD. Optometrist CurrentSince Jun 15, 2021 Accepting new patients
Dr. Robert F Hailey, DPM PSC PastSince Aug 19, 2019 Accepting new patients
Gregg Eubanks OD Optometrist Past Accepting new patients

Locations

960 S Commercial St
Harrisburg, IL 62946
Phone (618) 253-7057

2559 New Holt Rd
Paducah, KY 42001
Phone (270) 519-2821

Interoperability endpoints

  • Direct secure messaging: cjohnson.keca@direct.ocuhub.com

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1407300718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017503",
            "telephone_number": "270-558-4741",
            "fax_number": "270-558-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017503",
            "telephone_number": "270-558-4741",
            "fax_number": "270-558-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKS",
        "first_name": "CHELSEY",
        "middle_name": "JOHNSON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2029DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.