Eli Brammer Hendrix IV, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003644A Issued in IN

Practice address

223 Main St
Vincennes, IN 47591-1208

Phone

(812) 882-4809

NPI assigned

Jul 22, 2010

Sex

Male

Sole proprietor

No

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.

• Hendrix Optometric Corporation

  • Optometrist
  • Vincennes, IN
  • NPI 1013131648

  IN, Optometrist

  Medicare reassignment Care Compare group NPD

Specialty

Optometry

Education

Indiana University - School of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hendrix Optometric Corporation 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 21, 2022.

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1801109657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911208",
            "telephone_number": "812-882-4809",
            "fax_number": "812-882-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911208",
            "telephone_number": "812-882-4809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 S Hulen St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761091930",
            "country_code": "US",
            "telephone_number": "817-738-2027",
            "fax_number": "817-738-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "ELI",
        "middle_name": "BRAMMER",
        "name_suffix": "IV",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003644A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201011200",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily A Heineke, LCSW
• Sarah Heinz, DTC
• Hendrix Optometric Corporation
• Alan H Hendrix, MD
• Eli B Hendrix III, O.D.
• John Scott Hendrix, O.D.
• Charles E Hendrix, Jr., M.D.
• Krista Hendrix
• Mark Charles Hendrix, O.D.
• Jennifer Hensley, LCSW

• All providers in Vincennes, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.