Individual provider Active NPI

Cole Ryan Hauck-Wilson, O.D.

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1538901269
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002800 Issued in AZ
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

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 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
I20240906000696 AZ Practitioner - Optometry 1355881277 Reassigns benefits to 1 organization
I20250602001282 CA Practitioner - Optometry 1355881277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

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

LicenseStateTypeSpecialty
OPT-002800AZMDOptometrist
35935CAMDCritical Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Jul 7, 2025 Accepting new patients
Midwestern University Optometrist Current Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Midwestern University Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Midwestern University Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Jul 7, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.