Individual
DR. RON HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
101 W KIRKWOOD AVE STE 120, BLOOMINGTON, IN 47404-6131
(812) 331-9082
(812) 331-1301
Mailing address
101 W KIRKWOOD AVE STE 120, BLOOMINGTON, IN 47404-6131
(812) 331-9082
(812) 331-1301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001500B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000338080
ANTHEM
—
Enumeration date
02/07/2007
Last updated
03/17/2008
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