Individual provider Active NPI

Karen Hawk, O.D.

  • Optometrist
  • Woodland, CA
National Provider Identifier
1801824289
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT11060 Issued in CA
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

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000686 CA Practitioner - Optometry 3779502869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Crystal View Optometry IncGroup PAC ID 3072896679, 4 clinicians

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

LicenseStateTypeSpecialty
11060CAMDAddiction (Substance Use Disorder) Counselor
OPT11060CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal View Optometry, Inc. Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients
Spectrum Eyecare Optometry Inc Optometrist PastSince Nov 4, 2006 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.

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

Verify at the official NPI Registry.