NPIMap

Organization Active NPI

Dr Polly Hendricks & Associates, LLC

  • Optometrist
  • Lexington, KY
National Provider Identifier
1871738880
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1502DT Issued in KY
Legal business name
DR POLLY HENDRICKS & ASSOCIATES, LLC
Practice address
161 Lexington Green Cir Ste B6
Lexington, KY 40503-3323
Phone
(859) 271-6194
Fax
(859) 271-4399
NPI assigned
Dec 4, 2008
Last updated
Dec 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dr. Polly E Hendricks, O.D.NPI 1730271255
Title
Owner
Phone
(812) 288-8566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1502DT KY Primary

Addresses

Primary practice location

161 Lexington Green Cir Ste B6
Lexington, KY 40503-3323

Mailing address

161 Lexington Green Cir Ste B6
Lexington, KY 40503-3323
Phone (859) 271-6194

National Provider Directory

National Provider Directory

Locations

161 Lexington Green Cir
Lexington, KY 40503
Phone (859) 260-6356

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1871738880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 LEXINGTON GREEN CIR STE B6",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033323",
            "telephone_number": "859-271-6194",
            "fax_number": "859-271-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 LEXINGTON GREEN CIR STE B6",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033323",
            "telephone_number": "859-271-6194",
            "fax_number": "859-271-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR POLLY HENDRICKS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-288-8566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1502DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.