Dana P Hawkins, OD
Individual provider Active NPI Optometrist · Richland, MI
NPI 1700303807 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1700303807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901005052 (MI)
- Practice address
- 8085 N 32ND St
Richland, MI 49083-9650 - Phone
- (269) 629-2020
- Fax
- (269) 629-9873
- NPI assigned
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aeg Michigan Professional LLC
Practice addresses (Care Compare)
8085 N 32ND St
Richland, MI 49083-9650
Phone (269) 629-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210817000458 | MI | Practitioner - Optometry | 1052716933 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005052 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Vision Center Inc. | Optometrist | Current |
Accepting new patients |
| Southwest Vision Center Inc. | Optometrist | Current |
Accepting new patients |
| Richland Eye Care, P.L.L.C. | Optometrist | Current |
Accepting new patients |
| Aeg Michigan Professional LLC | Optometrist | Current |
Accepting new patients |
| Suburban Optometrics Assoc P C | Optometrist | Past | Accepting new patients |
Locations
55021 M 51 N
Dowagiac, MI 49047
Phone (269) 782-3476
412 Gray St
Dowagiac, MI 49047
Phone (269) 462-9258
69001 M 62
Ste E
Edwardsburg, MI 49112
Phone (269) 414-4492
32415 5 Mile Rd
Livonia, MI 48154
Phone (734) 525-8170
123 S Shiawassee St
Owosso, MI 48867
Phone (989) 725-8422
8085 N 32nd St
Richland, MI 49083
Phone (269) 629-2020
314 S US Highway 131
Ste B
Three Rivers, MI 49093
Phone (269) 273-8588
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005052 | MI | Yes |
Addresses
Primary practice location
8085 N 32ND St
Richland, MI 49083-9650
Mailing address
8085 N 32ND St
Richland, MI 49083-9650
Phone (269) 629-2020
Other providers in Richland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.