NPIMap

Organization Active NPI

Gomesindo E. Hendricks LTD

  • Optometrist
  • Henderson, NV
National Provider Identifier
1891920187
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NV0196 Issued in NV
Legal business name
GOMESINDO E. HENDRICKS LTD
Practice address
61 E Lake Mead Pkwy
Henderson, NV 89015-5531
Phone
(702) 565-0555
Fax
(702) 564-6060
NPI assigned
May 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Dr. Gomesindo E Hendricks, O.D
Title
Owner
Phone
(702) 565-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NV0196 NV Primary

Addresses

Primary practice location

61 E Lake Mead Pkwy
Henderson, NV 89015-5531

Mailing address

61 E Lake Mead Pkwy
Henderson, NV 89015-5531
Phone (702) 565-0555

Other identifiers 1

IdentifierTypeStateIssuer
FS588ZOtherNVPTAN ASSOCIATED WITH PERSONAL NPI 1316999436

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1891920187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155531",
            "telephone_number": "702-565-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155531",
            "telephone_number": "702-565-0555",
            "fax_number": "702-564-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMESINDO E. HENDRICKS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "GOMESINDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-565-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV0196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN ASSOCIATED WITH PERSONAL NPI 1316999436",
            "identifier": "FS588Z",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.