Joanne Hendrick, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1091 Issued in CO

Practice address

595 Chapel Hills Dr
Suite 103
Colorado Springs, CO 80920-1022

Phone

(719) 599-5083

Fax

(719) 599-3291

NPI assigned

Sep 13, 2005

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Chapel Hills Vision P C

  • Optometrist
  • Colorado Springs, CO
  • NPI 1639164973
  Medicare reassignment NPD
• Chapel Hills Vision P C

  • Optometrist
  • Colorado Springs, CO
  • NPI 1336134683
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1730174079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR",
            "address_2": "STE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201022",
            "telephone_number": "719-599-5083",
            "fax_number": "719-599-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR",
            "address_2": "SUITE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201022",
            "telephone_number": "719-599-5083",
            "fax_number": "719-599-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICK",
        "first_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08010910",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trier Henderson
• Chandler Hendren
• Chelsea Hendrick, MS, CNS, LDN
• Jeffrey Hendrick
• Jevon Hendrick
• Arvin Demetrius Hendricks
• Jason Tyler Hendricks, PA-C
• Jerry Allen Hendricks, O.D.
• Laura Ef Hendricks, NP
• Rush Davis Hendricks, DPT

• 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 May 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.