Active NPI
Cole Ryan Hauck-Wilson, O.D.
- Optometrist
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002800
- Practice address
- 625 34TH St Ste 100&200
Bakersfield, CA 93301-2305 - Phone
- (833) 678-2781
- NPI assigned
- Jun 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-002800 | AZ | Primary |
Addresses
Primary practice location
625 34TH St Ste 100&200
Bakersfield, CA 93301-2305
Mailing address
625 34TH St Ste 100&200
Bakersfield, CA 93301-2305
Phone (833) 678-2781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 34TH St
Suite 100And200
Bakersfield, CA 93301-2305
Phone (833) 678-2781
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-002800 | AZ | MD | Optometrist |
| 35935 | CA | MD | Critical Care Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Sierra Vista | Current | Accepting new patients | |
| Midwestern University | Optometrist | Current | Accepting new patients |
| Clinica Sierra Vista | Current | Accepting new patients | |
| Midwestern University | Optometrist | Current | Accepting new patients |
| Midwestern University | Optometrist | Current | Accepting new patients |
| Clinica Sierra Vista | Current | Accepting new patients | |
| Clinica Sierra Vista | Past | Accepting new patients |
Locations
19389 N 59th Ave
Glendale, AZ 85308
5865 W Utopia Rd
Glendale, AZ 85308
Phone (623) 806-7200
1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131
625 34th St
Ste 100200
Bakersfield, CA 93301
Phone (661) 328-4284
26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500
Interoperability endpoints
- chauckwilson27427@clinicasierravista.direct-ci.com
Organizations & group practices 7
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.
-
dba East Bakersfield Community Health Center
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1861494338
-
dba Midwestern University Multispecialty Clinic
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1932206414
Optometrist
-
dba Kern River Health Center
- Federally Qualified Health Center (FQHC)
- Wofford Heights, CA
- NPI 1437151800
-
dba Midwestern University Eye Institute-Downers Grove
- Optometrist
- Downers Grove, IL
- NPI 1295126324
-
dba Midwestern University Eye Institute
- Optometrist
- Glendale, AZ
- NPI 1891017745
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1245234673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1538901269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 34TH ST STE 100&200",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012305",
"telephone_number": "833-678-2781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 34TH ST STE 100&200",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012305",
"telephone_number": "833-678-2781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUCK-WILSON",
"first_name": "COLE",
"middle_name": "RYAN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-12",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 2, 2025; 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.