Jerry Allen Hendricks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CO1973 Issued in CO

Practice address

6005 Delmonico Dr
Suite 140, Rockrimmon Vision Clinic
Colorado Springs, CO 80919-2237

Phone

(719) 522-9393

Fax

(719) 532-1114

NPI assigned

Dec 16, 2005

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rockrimmon Vision ClinicGroup PAC ID 6204828411, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Rockrimmon Vision Clinic

  • Optometrist
  • Colorado Springs, CO
  • NPI 1871705707
  Medicare reassignment Care Compare group NPD Authorized official
• Chapel Hills Vision P C

  • Optometrist
  • Colorado Springs, CO
  • NPI 1336134683
  NPD (past)
• Chapel Hills Vision P C

  • Optometrist
  • Colorado Springs, CO
  • NPI 1639164973
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1730165275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 DELMONICO DR",
            "address_2": "SUITE 140, ROCKRIMMON VISION CLINIC",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192237",
            "telephone_number": "719-522-9393",
            "fax_number": "719-532-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 DELMONICO DR",
            "address_2": "SUITE 140, ROCKRIMMON VISION CLINIC",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192237",
            "telephone_number": "719-522-9393",
            "fax_number": "719-532-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "JERRY",
        "middle_name": "ALLEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO1973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Hendrick
• Jevon Hendrick
• Joanne Hendrick, OD
• Arvin Demetrius Hendricks
• Jason Tyler Hendricks, PA-C
• Laura Ef Hendricks, NP
• Rush Davis Hendricks, DPT
• Austin Hendrickson, LPC
• Jada Hendrickson
• Ben Gerard Hendriks, P.T.

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.

Verify at the official NPI Registry.