Active NPI
Lindsay Marie Hendricks, O.D.
- Optometrist
- Poulsbo, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60365472
- Practice address
- 20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370-6525 - Phone
- (360) 779-2020
- Fax
- (360) 779-3093
- NPI assigned
- Aug 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD60365472 | WA | Primary |
Addresses
Primary practice location
20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370-6525
Mailing address
20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370-6525
Phone (360) 779-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2029 E Sims Way
Port Townsend, WA 98368-6905
Phone (360) 385-5386
20669 Bond Rd NE
Poulsbo, WA 98370-6525
Phone (360) 779-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.49 of 100
- Quality
- 96.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD60365472 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Eye Care of Poulsbo PS | Optometrist | Current | Accepting new patients |
| Pacific Eyecare of Poulsbo PS | Current | Accepting new patients |
Locations
2029 E Sims Way
Port Townsend, WA 98368
Phone (360) 385-5386
20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370
Phone (360) 779-2020
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1285980623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20669 BOND RD NE",
"address_2": "STE 100",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706525",
"telephone_number": "360-779-2020",
"fax_number": "360-779-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20669 BOND RD NE",
"address_2": "STE 100",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706525",
"telephone_number": "360-779-2020",
"fax_number": "360-779-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "LINDSAY",
"middle_name": "MARIE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD60365472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.