Individual provider Active NPI

Dennis Wayne Hedrick, O.D.

  • Corneal and Contact Management Optometrist
  • Charleston, WV
National Provider Identifier
1871580548
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
870-OD Issued in WV
Practice address
806 Greenbrier St
Charleston, WV 25311-1527
Phone
(304) 342-5900
Fax
(304) 342-6257
NPI assigned
Sep 28, 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
Corneal and Contact Management Optometrist 152WC0802X 870-OD WV Primary

Addresses

Primary practice location

806 Greenbrier St
Charleston, WV 25311-1527

Mailing address

806 Greenbrier St
Charleston, WV 25311-1527
Phone (304) 342-5900

Other identifiers 1

IdentifierTypeStateIssuer
0149490000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20101216000165 WV Practitioner - Optometry 9739293127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Greenbrier Vision Center IncGroup PAC ID 7618180100, 2 clinicians

Practice addresses (Care Compare)

300 Association Dr
Charleston, WV 25311-1269
Phone 30434259001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
870WVMDPsychologist
870-ODWVMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Vision Center Inc Corneal and Contact Management CurrentSince Nov 23, 1997 Accepting new patients

Locations

300 Association Dr
Charleston, WV 25311
Phone (304) 342-5900

806 Greenbrier St
Charleston, WV 25311
Phone (304) 342-5900

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": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871580548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 GREENBRIER ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111527",
            "telephone_number": "304-342-5900",
            "fax_number": "304-342-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 GREENBRIER ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111527",
            "telephone_number": "304-342-5900",
            "fax_number": "304-342-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "DENNIS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WV",
            "license": "870-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149490000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.