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DR. CHARLES WALTER HATHAWAY O.D.
NPI 1720154099
Optometrist in Tallahassee, FL

Active since November 28, 2006PECOS Enrolled
255 JOHN KNOX RD, TALLAHASSEE, FL 32303(850) 385-0255(850) 385-3941 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Walter Hathaway O.d. NPPES

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

DR. CHARLES WALTER HATHAWAY O.D. (NPI 1720154099) is an individual optometrist in Tallahassee, Florida, licensed in Florida (OPC860) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720154099
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CHARLES WALTER HATHAWAYCredential: O.D.
Location Address255 JOHN KNOX RDTallahassee, FL 32303-6676
Mailing Address255 John Knox RdTallahassee, FL 32303-6676 · (850) 385-0255 · Fax (850) 385-3941
Phone(850) 385-0255
Fax(850) 385-3941
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateJune 28, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1720154099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC860
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.
255 JOHN KNOX RD, Tallahassee, FL 32303
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Other Identifiers 1

Medicaid084900600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Walter Hathaway O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32303 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

WALTER HATHAWAY, O.D.
Optometrist
255 JOHN KNOX RD
TALLAHASSEE, FL 32303
Leon County (850) 385-0255

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 Charles Hathaway's NPI number?

The NPI number for Charles Hathaway is 1720154099. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Charles Hathaway located?

Charles Hathaway practices at 255 John Knox Rd, Tallahassee, FL 32303. The listed phone number is (850) 385-0255.

What is Charles Hathaway's specialty?

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

Is Charles Hathaway enrolled in Medicare?

Yes. Charles Hathaway is registered in the Medicare PECOS enrollment system.

What insurance does Charles Hathaway accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 9 other insurers list Charles Hathaway 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 Charles Hathaway was last updated on June 28, 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.