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DR. ANDREA J HAWRYLUK OD
NPI 1457090052
Optometrist in White River Junction, VT

Active since June 01, 2022PECOS Enrolled
155 MAPLE ST STE 1, WHITE RIVER JUNCTION, VT 05001(802) 295-3300 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Andrea J Hawryluk Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREA J HAWRYLUK OD (NPI 1457090052) is an individual optometrist in White River Junction, Vermont, licensed in Vermont (030.0133983) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2022).

NPPES Registry Identity

NPI1457090052
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANDREA J HAWRYLUKCredential: OD
Location Address155 MAPLE ST STE 1White River Junction, VT 05001-7029
Mailing Address155 Maple St Ste 1White River Junction, VT 05001-7029 · (802) 295-3300
Phone(802) 295-3300
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2022
Enumeration DateJune 1, 2022
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1457090052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in VT · 030.0133983✔ Licensed in NY · TUV009543-01
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
155 MAPLE ST STE 1, White River Junction, VT 05001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrea J Hawryluk Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729446158
PECOS Enrollment IDI20230616001794
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrea Hawryluk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Junction Eye Center LLC
Same address
Optometrist
155 MAPLE ST
White River Junction, VT 05001
  • Reassigned Medicare billing, Vermont enrollment
  • 8 clinicians in this Medicare group
NPI 1841790326 (802) 295-3300
Eyecare For You, PC
18 mi
Optometrist
1593 VT RT 107
Bethel, VT 05032
  • Reassigned Medicare billing, Vermont enrollment
  • 6 clinicians in this Medicare group
NPI 1518296748 (802) 234-9728

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
190 services189 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
104 services73 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
61 services33 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
60 services60 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
50 services41 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
41 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAMERON GAIL LORY OD
Optometrist
155 MAPLE ST STE 1
WHITE RIVER JUNCTION, VT 05001
Windsor County (802) 295-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Hawryluk's NPI number?

The NPI number for Andrea Hawryluk is 1457090052. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Andrea Hawryluk located?

Andrea Hawryluk practices at 155 Maple St Ste 1, White River Junction, VT 05001. The listed phone number is (802) 295-3300.

What is Andrea Hawryluk's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Andrea Hawryluk enrolled in Medicare?

Yes. Andrea Hawryluk is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Hawryluk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Hawryluk reassigns Medicare benefits to 2 organizations: Junction Eye Center LLC (White River Junction, VT) and Eyecare For You, PC (Bethel, VT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Hawryluk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Hawryluk accept?

Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Andrea Hawryluk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Hawryluk was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.