Provider Demographics
NPI:1700303807
Name:HAWKINS, DANA P (OD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:P
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8085 N 32ND ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49083-9650
Mailing Address - Country:US
Mailing Address - Phone:269-629-2020
Mailing Address - Fax:269-629-9873
Practice Address - Street 1:8085 N 32ND ST
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MI
Practice Address - Zip Code:49083-9650
Practice Address - Country:US
Practice Address - Phone:269-629-2020
Practice Address - Fax:269-629-9873
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005052152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist