Individual provider Active NPI

Terry Lane Hendrickson, OD

  • Optometrist
  • Columbia, TN
National Provider Identifier
1801887765
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-825-T Issued in TN
Practice address
403 N Garden St
Columbia, TN 38401-2903
Phone
(931) 380-2020
Fax
(931) 381-5411
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-825-T TN Primary

Addresses

Primary practice location

403 N Garden St
Columbia, TN 38401-2903

Mailing address

403 N Garden St
Columbia, TN 38401-2903
Phone (931) 380-2020

Other identifiers 3

IdentifierTypeStateIssuer
0243890001OtherTNPALMETTO
2001416OtherTNBLUE CROSS
2001416MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20081114000600 TN Practitioner - Optometry 1759441173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Care PLLCGroup PAC ID 7810057239, 2 clinicians

Practice addresses (Care Compare)

403 N Garden
Columbia, TN 38401-2903
Phone (931) 380-2020

403 N Garden St
Columbia, TN 38401-2903

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
825TNMDClinical Social Worker
OD-825-TTNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care PLLC Optometrist CurrentSince Nov 20, 2008 Accepting new patients

Locations

403 N Garden St
Columbia, TN 38401
Phone (931) 380-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801887765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N GARDEN ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012903",
            "telephone_number": "931-380-2020",
            "fax_number": "931-381-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N GARDEN ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012903",
            "telephone_number": "931-380-2020",
            "fax_number": "931-381-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "TERRY",
        "middle_name": "LANE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD-825-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "0243890001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2001416",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001416",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.