# HENDRIXS EYE CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528424439
- **Authorized official:** DAVID HENDRIX O.D. (OWNER)
- **Authorized official phone:** (321) 383-1332

## Contact information

- **Practice address:** 1917 KNOX MCRAE DR, TITUSVILLE, FL 32780-5360
- **Practice address phone:** (321) 383-1332
- **Practice address fax:** (321) 383-1243
- **Mailing address:** 1917 KNOX MCRAE DR, TITUSVILLE, FL 32780-5360
- **Mailing address phone:** (321) 383-1332
- **Mailing address fax:** (321) 383-1243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3713 | FL | Yes |

## Other

- **Enumeration date:** 01/07/2016
- **Last updated:** 01/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11380258 | CAQH | FL |
| 01 | — | 1750322871 | NPI \# | FL |
| 01 | — | 20033 | BLUE CROSS | FL |
| 01 | — | OPC3713 | LICENSE | FL |
