Active NPI
Amanda B Hendrix, O.D.
- Optometrist
- Leland, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NC1935
- Practice address
- 1031 Grandiflora Dr
Leland, NC 28451-7453 - Phone
- (910) 371-0540
- NPI assigned
- Feb 11, 2007
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 42 |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC1935 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | 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.
-
- Optometrist
- Monroe, NC
- NPI 1407737182
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.