Dr. Polly Hendricks

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002171 Issued in IN

Legal business name

DR. POLLY HENDRICKS

Practice address

757 E Lewis and Clark Pkwy
Clarksville, IN 47129-2269

Phone

(812) 288-8566

Fax

(812) 284-2326

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Polly Ellen Hendricks, O.D.NPI 1730271255

Title

Owner

Phone

(812) 288-8566

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Polly Hendricks, O.D.

  • Optometrist
  • Scottsburg, IN
  • NPI 1730271255
  Authorized official Same address or phone
• John Garry Mestel, O.D.

  • Optometrist
  • Clarksville, IN
  • NPI 1457404790
  NPD

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1659405983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292269",
            "telephone_number": "812-288-8566",
            "fax_number": "812-284-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292269",
            "telephone_number": "812-288-8566",
            "fax_number": "812-284-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. POLLY HENDRICKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-288-8566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Anthony Dixon, LMHC
• Bonnie Sue Doan, MSSW, LCSW
• Abigail Regan Donaway, CF-SLP
• Dr Mark Lynn & Associates PLLC (Visionworks Doctors of Optometry)
• Dr. Mark Lynn & Associates, PLLC (Visionworks Doctors of Optometry)
• Molly Lorraine Dubuque, M.A., BCBA
• Darra Dukes, NP-C
• Erin Elizabeth Dunaway, DMD
• Edema Solutions LLC
• Blake Ehret

• Optometrist in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.