Individual provider Active NPI

Terry Foster Hawks, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1770569345
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1055-3 Issued in KS
Practice address
5703 W 95TH St
Overland Park, KS 66207-2919
Phone
(913) 341-4508
Fax
(913) 341-4570
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1055-3 KS Primary

Addresses

Primary practice location

5703 W 95TH St
Overland Park, KS 66207-2919

Mailing address

5703 W 95TH St
Overland Park, KS 66207-2919
Phone (913) 341-4508

Other identifiers 1

IdentifierTypeStateIssuer
100090500BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20080909000446 KS Practitioner - Optometry 4082789714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1055-3KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Hawks Besler & Rogers Optometrists PA Optometrist CurrentSince Jun 10, 1996 Accepting new patients
DRS Hawks, Besler and Rogers Optometrist PastSince Jun 10, 1996 Accepting new patients

Locations

315 E Main St
Gardner, KS 66030
Phone (913) 856-6360

5703 W 95th St
Shawnee Msn, KS 66207
Phone (913) 341-4508

Interoperability endpoints

  • Direct secure messaging: direct@drshawksbeslerrogersoverlandparkks.compulinkdirect.com

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1770569345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072919",
            "telephone_number": "913-341-4508",
            "fax_number": "913-341-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072919",
            "telephone_number": "913-341-4508",
            "fax_number": "913-341-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKS",
        "first_name": "TERRY",
        "middle_name": "FOSTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1055-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100090500B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.