Kathy Marie Hendrickson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

578 Issued in ND

Practice address

110 9TH Ave S
Carrington, ND 58421-2020

Phone

(701) 652-2020

Fax

(701) 652-2942

NPI assigned

Feb 20, 2006

Last updated

Dec 26, 2007By the provider in NPPES

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 ND

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.44 of 100Reported as individual

Quality

94.88

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathy.hendrickson@direct.revolutionehr.com

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.

• Kathy Hendrickson, O.D., P.C.

  dba Family Vision Center

  • Optometrist
  • Carrington, ND
  • NPI 1871780627
  Medicare reassignment NPD Authorized official
• Krein and Moen PC

  dba Family Vision Center

  • Optometrist
  • Carrington, ND
  • NPI 1013191923
  NPD (past) Authorized official

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1770558249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 9TH AVE S",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584212020",
            "telephone_number": "701-652-2020",
            "fax_number": "701-652-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 9TH AVE S",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584212020",
            "telephone_number": "701-652-2020",
            "fax_number": "701-652-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "KATHY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60529",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey R. Galt, D.C.
• Garr Dental Center PLLC
• Benjamin L Garr, D.M.D.
• Rick J Geier, MD
• Wes Heinley, NCC, CRC
• Gabrielle Francis Hewitt
• Tyler Hewitt
• Bradley Hoff, PA-C
• Mary L Hoff, PA
• Nikole Renne Hoggarth, RN

• Optometrist in Carrington, ND
• Providers in Carrington, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.