NPIMap

Organization Active NPI

Optiks LLC

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1821284464
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTIKS LLC
Practice address
101 W Kirkwood Ave
Suite 120
Bloomington, IN 47404-6129
Phone
(812) 331-9082
Fax
(812) 331-1301
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Ron Hawkins, O.D.NPI 1548300031
Title
Optometrist/Owner
Phone
(812) 331-9082

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

101 W Kirkwood Ave
Suite 120
Bloomington, IN 47404-6129

Mailing address

101 W Kirkwood Ave
Suite 120
Bloomington, IN 47404-6129
Phone (812) 331-9082

Other identifiers 2

IdentifierTypeStateIssuer
000000338080OtherANTHEM
000000539394OtherANTHEM

Other names 1

  • Ron Hawkins O.D. DBA Optiks Former legal business name

National Provider Directory

National Provider Directory

Locations

101 W Kirkwood Ave
Ste 120
Bloomington, IN 47404
Phone (812) 331-9082

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1821284464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W KIRKWOOD AVE",
            "address_2": "SUITE 120",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474046129",
            "telephone_number": "812-331-9082",
            "fax_number": "812-331-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KIRKWOOD AVE",
            "address_2": "SUITE 120",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474046129",
            "telephone_number": "812-331-9082",
            "fax_number": "812-331-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "812-331-9082",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000338080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000539394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ron Hawkins O.D. DBA Optiks",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.