Individual provider Active NPI

Lois Hendrix, O.D.

  • Optometrist
  • Suffolk, VA
National Provider Identifier
1184951584
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001845 Issued in VA
Practice address
1200 N Main St
Suffolk, VA 23434-4321
Phone
(757) 925-0495
Fax
(757) 925-1004
NPI assigned
Nov 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001845 VA Primary

Addresses

Primary practice location

1200 N Main St
Suffolk, VA 23434-4321

Mailing address

2419 Chestnut St
Wilmington, NC 28405-2928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200518002967 SC Practitioner - Optometry 6709070873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benjamin J Bittner OD IncGroup PAC ID 5991029654, 3 clinicians

Practice addresses (Care Compare)

541 Seaboard St
Myrtle Beach, SC 29577-9733
Phone (843) 444-8280

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2165SCMDOral and Maxillofacial Pathology Dentist
0618001845VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin J Bittner OD Inc Optometrist CurrentSince Jun 9, 2020 Accepting new patients
Gregory P. Jellenek, OD & Associates, PC Optometrist Past Accepting new patients

Locations

541 Seaboard St
Myrtle Beach, SC 29577
Phone (843) 444-8280

9403 Highway 707
Ste C
Myrtle Beach, SC 29588
Phone (843) 443-6000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1184951584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 CHESTNUT ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344321",
            "telephone_number": "757-925-0495",
            "fax_number": "757-925-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "LOIS",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.