Individual provider Active NPI

Amanda B Hendrix, O.D.

  • Optometrist
  • Leland, NC
National Provider Identifier
1669513677
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1935 Issued in NC
Practice address
1031 Grandiflora Dr
Leland, NC 28451-7453
Phone
(910) 371-0540
NPI assigned
Feb 11, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1935 NC Primary

Addresses

Primary practice location

1031 Grandiflora Dr
Leland, NC 28451-7453

Mailing address

515 John S Mosby Dr
Wilmington, NC 28412-7150
Phone (910) 617-2466

Other practice location 1

3500 Oleander Dr
Wilmington, NC 28403-0811
Phone (910) 790-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602000982 NC Practitioner - Optometry 4981827433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
NC1935NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Mar 21, 2016 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Mar 21, 2016 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist Past Accepting new patients

Locations

313 Wb McLean Dr
Cape Carteret, NC 28584
Phone (252) 393-3010

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

1031 Grandiflora Dr
Leland, NC 28451
Phone (910) 371-0540

5615 S NC 41 Hwy
Ste 300
Wallace, NC 28466
Phone (910) 285-5050

201 Racine Dr
Wilmington, NC 28403
Phone (910) 395-6050

3501 Oleander Dr
Ste 7
Wilmington, NC 28403
Phone (910) 254-9292

5619 Carolina Beach Rd
Ste 110
Wilmington, NC 28412
Phone (910) 790-0212

6825 Parker Farm Dr
Wilmington, NC 28405
Phone (910) 452-0554

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669513677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 JOHN S MOSBY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127150",
            "telephone_number": "910-617-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 GRANDIFLORA DR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517453",
            "telephone_number": "910-371-0540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Oleander Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284030811",
            "country_code": "US",
            "telephone_number": "910-790-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "AMANDA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

Verify at the official NPI Registry.