Active NPI
Jean Fallon Hendricks, O.D.
- Optometrist
- New Orleans, LA
National Provider Identifier
1497941769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1083-173T
- Practice address
- 1416 State St
New Orleans, LA 70118-6047 - Phone
- (504) 891-8892
- NPI assigned
- Sep 20, 2007
- 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 | 1083-173T | LA | Primary |
Addresses
Primary practice location
1416 State St
New Orleans, LA 70118-6047
Mailing address
1416 State St
New Orleans, LA 70118-6047
Phone (504) 891-8892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1083-173T | LA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1497941769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 STATE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701186047",
"telephone_number": "504-891-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 STATE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701186047",
"telephone_number": "504-891-8892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "JEAN",
"middle_name": "FALLON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1083-173T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.