Active NPI
Karen Hawk, O.D.
- Optometrist
- Woodland, CA
National Provider Identifier
1801824289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT11060
- Practice address
- 610 Cottonwood St
Woodland, CA 95695-3615 - Phone
- (530) 666-0333
- Fax
- (530) 666-0352
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT11060 | CA | Primary |
Addresses
Primary practice location
610 Cottonwood St
Woodland, CA 95695-3615
Mailing address
3333 Victoria Island CT
West Sacramento, CA 95691-5942
Phone (916) 208-4389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
8419 Elk Grove Florin Rd
Elk Grove, CA 95624-9518
Phone (916) 681-1101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11060 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| OPT11060 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal View Optometry, Inc. | Optometrist | Current | Accepting new patients |
| Hill Physicians Care Solutions, Inc. | Past | Accepting new patients | |
| Spectrum Eyecare Optometry Inc | Optometrist | Past | Accepting new patients |
| Lewis S Bliss MD | Past | Accepting new patients | |
| Jeffery W Adkins MD | Optometrist | Past | Accepting new patients |
Locations
8419 Elk Grove Florin Rd
Elk Grove, CA 95624
Phone (916) 681-1101
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 and National Provider Directory roles.
-
- Optometrist
- Elk Grove, CA
- NPI 1568909166
-
- Health Maintenance Organization
- San Ramon, CA
- NPI 1437769429
-
- Ophthalmology Physician
- Sacramento, CA
- NPI 1003084393
-
- Optometrist
- San Dimas, CA
- NPI 1801949573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1801824289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 VICTORIA ISLAND CT",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956915942",
"telephone_number": "916-208-4389",
"fax_number": "916-208-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 COTTONWOOD ST",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956953615",
"telephone_number": "530-666-0333",
"fax_number": "530-666-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWK",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT11060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.