Active NPI
John E. Maanum, O.D.
Doing business as Hawthorne Optometry
- Optometrist
- Hawthorne, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11181T
- Legal business name
- JOHN E. MAANUM, O.D.
- Doing business as
- Hawthorne Optometry
- Practice address
- 13427 Inglewood Ave
Hawthorne, CA 90250-5608 - Phone
- (310) 676-2020
- Fax
- (310) 676-2645
- NPI assigned
- Jan 30, 2007
- Last updated
- Jun 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Maanum, O.D.
- Title
- Owner
- Phone
- (310) 676-2020
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11181T | CA | Primary |
Addresses
Primary practice location
13427 Inglewood Ave
Hawthorne, CA 90250-5608
Mailing address
13427 Inglewood Ave
Hawthorne, CA 90250-5608
Phone (310) 676-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0111810 | Medicaid | CA |
Other names 1
- Hawthorne Optometry
National Provider Directory
National Provider DirectoryLocations
13427 Inglewood Ave
Hawthorne, CA 90250
Phone (310) 676-2020
9701 W Pico Blvd
Ste 215
Los Angeles, CA 90035
Phone (310) 553-7011
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Optometrist
- Los Angeles, CA
- NPI 1356303721
-
- Optometrist
- Torrance, CA
- NPI 1215421367
-
- Pediatric Optometrist
- Hawthorne, CA
- NPI 1366440018
-
- Optometrist
- Hawthorne, CA
- NPI 1902918246
-
- Optometrist
- Los Angeles, CA
- NPI 1083175962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1902942204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13427 INGLEWOOD AVE",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505608",
"telephone_number": "310-676-2020",
"fax_number": "310-676-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13427 INGLEWOOD AVE",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505608",
"telephone_number": "310-676-2020",
"fax_number": "310-676-2645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN E. MAANUM, O.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "MAANUM",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-676-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11181T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0111810",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hawthorne Optometry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.