Individual provider Active NPI

Dana P Hawkins, OD

  • Optometrist
  • Richland, MI
National Provider Identifier
1700303807
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005052 Issued in MI
Practice address
8085 N 32ND St
Richland, MI 49083-9650
Phone
(269) 629-2020
Fax
(269) 629-9873
NPI assigned
Aug 29, 2017
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 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 4901005052 MI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210817000458 MI Practitioner - Optometry 1052716933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Michigan Professional LLCGroup PAC ID 7113395864, 23 clinicians

Practice addresses (Care Compare)

8085 N 32ND St
Richland, MI 49083-9650
Phone (269) 629-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005052MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Vision Center Inc. Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Aeg Michigan Professional LLC Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Richland Eye Care, P.L.L.C. Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Southwest Vision Center Inc. Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Suburban Optometrics Assoc P C Optometrist Past Accepting new patients

Locations

412 Gray St
Dowagiac, MI 49047
Phone (269) 462-9258

55021 M 51 N
Dowagiac, MI 49047
Phone (269) 782-3476

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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1700303807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 N 32ND ST",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490839650",
            "telephone_number": "269-629-2020",
            "fax_number": "269-629-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8085 N 32ND ST",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490839650",
            "telephone_number": "269-629-2020",
            "fax_number": "269-629-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "DANA",
        "middle_name": "P",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MI

Sources for this page

Verify at the official NPI Registry.