Organization Active NPI

Hendrix Eye Clinic, LLC

  • Eyewear Supplier
  • Demorest, GA
National Provider Identifier
1518513613
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.