Individual provider Active NPI

Nathan J. Hawkins, O.D.

  • Optometrist
  • Twentynine Palms, CA
National Provider Identifier
1982837035
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7383575-9934 Issued in UT
Practice address
BLDG 1145 Sturgis St.
Naval Hospital, Attn Professional Affairs
Twentynine Palms, CA 92278-8250
Phone
(760) 830-2194
NPI assigned
Aug 24, 2009
Last updated
Mar 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7383575-9934 UT Primary
Optometrist 152W00000X 7383575-8908 UT

Addresses

Primary practice location

BLDG 1145 Sturgis St.
Naval Hospital, Attn Professional Affairs
Twentynine Palms, CA 92278-8250

Mailing address

PO Box 267
Naval Hospital, Attn Professional
Spanish Fork, UT 84660-0267
Phone (801) 794-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20120717000140 UT Practitioner - Optometry 1951567114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esplin Eye Center LLCGroup PAC ID 5597791442, 3 clinicians

Practice addresses (Care Compare)

59 S 400
Spanish Fork, UT 84660-2053
Phone (801) 794-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7383575-8908UTMDOptometrist
7383575-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Esplin Eye Center LLC Optometrist CurrentSince Jul 2, 2012 Accepting new patients

Locations

59 S 400 W
Spanish Fork, UT 84660
Phone (801) 794-3937

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1982837035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "address_2": "NAVAL HOSPITAL, ATTN PROFESSIONAL",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846600267",
            "telephone_number": "801-794-3937",
            "fax_number": "801-794-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 1145 STURGIS ST.",
            "address_2": "NAVAL HOSPITAL, ATTN PROFESSIONAL AFFAIRS",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922788250",
            "telephone_number": "760-830-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "NATHAN",
        "middle_name": "J.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "7383575-9934",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "7383575-8908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twentynine Palms, CA

Sources for this page

Verify at the official NPI Registry.