Mark Charles Hendrix, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

IN1843B Issued in IN

Practice address

223 Main St
Vincennes, IN 47591-1208

Phone

(812) 882-4809

Fax

(812) 882-9485

NPI assigned

Apr 17, 2006

Last updated

Nov 2, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1669436564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 MCDOWELL RD",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915929",
            "telephone_number": "812-882-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911208",
            "telephone_number": "812-882-4809",
            "fax_number": "812-882-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "IN1843B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON",
            "identifier": "622531",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE/MEDICAID",
            "identifier": "351433409050",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0327640001",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000083975",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eli B Hendrix III, O.D.
• Eli Brammer Hendrix IV, OD
• John Scott Hendrix, O.D.
• Charles E Hendrix, Jr., M.D.
• Krista Hendrix
• Jennifer Hensley, LCSW
• Her Health and Wellness LLC
• Herman Family Dental LLC
• Herman Family Dental,LLC
• Cecelia Mary Herman, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.