Individual
DR. JOHN PAUL HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1709 MAIN ST, WOODWARD, OK 73801-2938
(580) 256-7755
(580) 256-4819
Mailing address
PO BOX 1128, WOODWARD, OK 73802-1128
(580) 256-7755
(580) 256-4819
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
766
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731056684001
BLUE CROSS BLUE SHIELD OK
OK
01
—
CT0824
RR MEDICARE
OK
Enumeration date
11/08/2006
Last updated
02/13/2008
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