Active NPI
Hendrix Eye Clinic, LLC
- Eyewear Supplier
- Demorest, GA
National Provider Identifier
1518513613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- HENDRIX EYE CLINIC, LLC
- Practice address
- 864 Central Ave
Demorest, GA 30535-5534 - Phone
- (706) 778-0101
- Fax
- (706) 778-0082
- NPI assigned
- Aug 14, 2019
- Last updated
- Aug 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Perry Hendrix, O.D.
- Title
- Optometrist/Organizer
- Phone
- (706) 969-2565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | Primary |
Addresses
Primary practice location
864 Central Ave
Demorest, GA 30535-5534
Mailing address
PO Box 100
Demorest, GA 30535-0100
Phone (706) 969-2565
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565740800000",
"number": "1518513613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "DEMOREST",
"state": "GA",
"postal_code": "305350100",
"telephone_number": "706-969-2565",
"fax_number": "706-778-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "864 CENTRAL AVE",
"city": "DEMOREST",
"state": "GA",
"postal_code": "305355534",
"telephone_number": "706-778-0101",
"fax_number": "706-778-0082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDRIX EYE CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-14",
"status": "A",
"authorized_official_last_name": "HENDRIX",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "PERRY",
"authorized_official_title_or_position": "OPTOMETRIST/ORGANIZER",
"authorized_official_telephone_number": "706-969-2565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Demorest, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.