NPIMap

Individual provider Active NPI

Ron Hawkins, O.D.

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1548300031
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001500B Issued in IN
Practice address
101 W Kirkwood Ave Ste 120
Bloomington, IN 47404-6131
Phone
(812) 331-9082
Fax
(812) 331-1301
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001500B IN Primary

Addresses

Primary practice location

101 W Kirkwood Ave Ste 120
Bloomington, IN 47404-6131

Mailing address

101 W Kirkwood Ave Ste 120
Bloomington, IN 47404-6131
Phone (812) 331-9082

Other identifiers 1

IdentifierTypeStateIssuer
000000338080OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18001500BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optiks LLC Optometrist Past Accepting new patients
Amedco Indiana LLC Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1548300031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W KIRKWOOD AVE STE 120",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474046131",
            "telephone_number": "812-331-9082",
            "fax_number": "812-331-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KIRKWOOD AVE STE 120",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474046131",
            "telephone_number": "812-331-9082",
            "fax_number": "812-331-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001500B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000338080",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.