Individual
DR. GARY D HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1825 DOWNS DR, ERIE, PA 16509-7303
(814) 864-8617
(814) 860-3286
Mailing address
318 W MAIN ST, TITUSVILLE, PA 16354-1615
(814) 746-5902
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE004898P
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014504500001
—
PA
Enumeration date
12/26/2006
Last updated
02/19/2012
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