Individual provider Active NPI

Joshua Fong Hendrix, M.D.

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1427461367
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
31225 Issued in OK
Practice address
608 Stanton L Young Blvd
Dmei 509
Oklahoma City, OK 73104-5014
Phone
(405) 271-7816
NPI assigned
Jun 9, 2014
Last updated
May 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL36975 SC
Ophthalmology Physician 207W00000X 31225 OK Primary

Addresses

Primary practice location

608 Stanton L Young Blvd
Dmei 509
Oklahoma City, OK 73104-5014

Mailing address

215 NE 28TH St
Apt 2312
Oklahoma City, OK 73105-2840
Phone (864) 263-8556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025000962 GA Practitioner - Ophthalmology 3375762420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JC Edwards School of Medicine, Marshall University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 Professional Blvd
Dalton, GA 30720-2588
Phone (706) 226-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery374
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Eye Associates, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Professional Eye Associates, Inc. Ophthalmology CurrentSince Aug 1, 2018 Accepting new patients
Professional Eye Associates, Inc. Past Accepting new patients
Professional Eye Associates, Inc. Past Accepting new patients
Professional Eye Associates, Inc. Ophthalmology Past Accepting new patients

Locations

101 Professional Ct SE
Calhoun, GA 30701
Phone (706) 625-3822

113 W Pine St
Chatsworth, GA 30705
Phone (706) 226-2020

1111 Professional Blvd
Dalton, GA 30720
Phone (404) 226-2232

2498 Lafayette Rd
#0
Fort Oglethorpe, GA 30742

2498 Lafayette Rd
Ft Oglethorpe, GA 30742
Phone (706) 866-2020

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1427461367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NE 28TH ST",
            "address_2": "APT 2312",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731052840",
            "telephone_number": "864-263-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "address_2": "DMEI 509",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045014",
            "telephone_number": "405-271-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "JOSHUA",
        "middle_name": "FONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL36975",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "31225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.