Organization Active NPI

Hawarden Family Eye Care PLLC

  • Optometrist
  • Hawarden, IA
National Provider Identifier
1801560545
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HAWARDEN FAMILY EYE CARE PLLC
Practice address
605 10TH St
Hawarden, IA 51023-2220
Phone
(712) 551-2020
NPI assigned
Aug 5, 2021
Last updated
Jul 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Paul Beaver, ODNPI 1033392824
Title
Owner
Phone
(712) 722-1270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

605 10TH St
Hawarden, IA 51023-2220

Mailing address

105 S Main Ave
Sioux Center, IA 51250-1535
Phone (712) 722-1270

Other identifiers 1

IdentifierTypeStateIssuer
8328590001OtherIANATIONAL PROVIDER ENROLLMENT WESTERN REGION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210826002205 IA Part B Supplier - Clinic/Group Practice 8628473733 Receives reassigned benefits from 2 practitioners
Practice locations: Hawarden, IA
O20240904004607 IA DME Supplier - Physician - Optometrist 8628473733 Practice locations: Hawarden, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Family Eye Care605 10TH St, Hawarden, IA 51023-2220(712) 551-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Sep 1, 2021

National Provider Directory

National Provider Directory

Locations

605 10th St
Hawarden, IA 51023
Phone (712) 551-2020

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1801560545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S MAIN AVE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501535",
            "telephone_number": "712-722-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 10TH ST",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "510232220",
            "telephone_number": "712-551-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWARDEN FAMILY EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2025-07-09",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-722-1270",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER ENROLLMENT WESTERN REGION",
            "identifier": "8328590001",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawarden, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.