Individual provider Active NPI

Rhonda Ayers Hendrix, O.D.

  • Optometrist
  • Destin, FL
National Provider Identifier
1811963630
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2263 Issued in FL
Practice address
16055 Emerald Coast Pkwy Unit 115
Destin, FL 32541-8531
Phone
(850) 862-9543
Fax
(850) 650-2053
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 347 HI
Optometrist 152W00000X S-621 AL
Optometrist 152W00000X 1131-T GA
Optometrist 152W00000X 866 SC
Optometrist 152W00000X OPC 2263 FL Primary

Addresses

Primary practice location

16055 Emerald Coast Pkwy Unit 115
Destin, FL 32541-8531

Mailing address

16055 Emerald Coast Pkwy Unit 115
Destin, FL 32541-8531
Phone (850) 862-9543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110126000772 FL Practitioner - Optometry 8022297753 Reassigns benefits to 1 organization
Practice locations: Destin, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16055 Emerald Coast Pkwy
Unit 115
Destin, FL 32541-8531
Phone (850) 862-0943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
347HIMDChiropractor
S-621ALMDOptometrist
OPC 2263FLMDOptometrist
1131-TGAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Vision Center Optometrist CurrentSince Apr 7, 2024 Accepting new patients
Dr. Rhonda Hendrix, PA Optometrist CurrentSince Jul 6, 2010 Accepting new patients

Locations

16055 Emerald Coast Pkwy
Unit 115
Destin, FL 32541
Phone (850) 308-5730

748 Beal Pkwy N
Fort Walton Beach, FL 32547
Phone (850) 862-9543

Organizations & group practices 2

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1811963630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 EMERALD COAST PKWY UNIT 115",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418531",
            "telephone_number": "850-862-9543",
            "fax_number": "850-650-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 EMERALD COAST PKWY UNIT 115",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418531",
            "telephone_number": "850-862-9543",
            "fax_number": "850-650-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "RHONDA",
        "middle_name": "AYERS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "347",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-621",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1131-T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "866",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.