Organization Active NPI

Dr. Rhonda Hendrix, PA

  • Optometrist
  • Destin, FL
National Provider Identifier
1649550534
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2263 Issued in FL
Legal business name
DR. RHONDA HENDRIX, PA
Practice address
16055 Emerald Coast Pkwy #115
Destin, FL 32541
Phone
(850) 862-9543
Fax
(850) 650-2053
NPI assigned
Aug 23, 2011
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Dr. Rhonda Ayers Hendrix, O.D.NPI 1811963630
Title
President
Phone
(850) 862-9543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPC2263 FL Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1131-T GA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X S-621 AL

Addresses

Primary practice location

16055 Emerald Coast Pkwy #115
Destin, FL 32541

Mailing address

16055 Emerald Coast Pkwy #115
Destin,, FL 32541
Phone (850) 862-9543

Other names 1

  • Emerald Coast Vision Center-Dr. Rhonda A. Hendrix, OD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000758 FL Part B Supplier - Clinic/Group Practice 4385806702 Receives reassigned benefits from 1 practitioner
Practice locations: Destin, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1649550534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 EMERALD COAST PKWY #115",
            "city": "DESTIN,",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-862-9543",
            "fax_number": "850-650-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 EMERALD COAST PKWY #115",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-862-9543",
            "fax_number": "850-650-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RHONDA HENDRIX, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2024-06-04",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "AYERS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-862-9543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2263",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1131-T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald Coast Vision Center-Dr. Rhonda A. Hendrix, OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.