NPIMap

Organization Active NPI

Hendrix Optometric Corporation

Doing business as Eyeworks

  • Optometrist
  • Vincennes, IN
National Provider Identifier
1013131648
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
56000051A Issued in IN
Legal business name
HENDRIX OPTOMETRIC CORPORATION
Doing business as
Eyeworks
Practice address
223 Main St
Vincennes, IN 47591-1208
Phone
(812) 882-4809
Fax
(812) 882-9485
NPI assigned
Apr 13, 2007
Last updated
Jun 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nathaniel R. Baker, O.D.NPI 1891751202
Title
President
Phone
(812) 882-4809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 56000051A IN Primary

Addresses

Primary practice location

223 Main St
Vincennes, IN 47591-1208

Mailing address

223 Main St
Vincennes, IN 47591-1208
Phone (812) 882-4809

Other names 1

  • EYEWORKS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081111000664 IN Part B Supplier - Clinic/Group Practice 6103985767 Receives reassigned benefits from 8 practitioners
Practice locations: Vincennes, IN; Washington, IN; Linton, IN
O20100930063780 IN DME Supplier - Physician - OptometristDME Supplier - Optician 6103985767 Practice locations: Vincennes, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eyeworks223 Main St, Vincennes, IN 47591-1208(812) 882-4809 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Oct 7, 2008

National Provider Directory

National Provider Directory

Locations

223 Main St
Vincennes, IN 47591
Phone (812) 882-4809

109 Cherry Tree Plz
Washington, IN 47501
Phone (812) 254-1600

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1013131648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911208",
            "telephone_number": "812-882-4809",
            "fax_number": "812-882-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911208",
            "telephone_number": "812-882-4809",
            "fax_number": "812-882-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRIX OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-882-4809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "56000051A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEWORKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.