# HENDRICKS & SIDEBOTTOM OPTICIANS

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

## Provider details

- **NPI number:** 1912035098
- **Authorized official:** MR. WILLIAM LAURENCE SIDEBOTTOM (OWNER OPTICIAN)
- **Authorized official phone:** (610) 644-2020

## Contact information

- **Practice address:** 500 CHESTERBROOK BLVD, STE C5A, WAYNE, PA 19087-5608
- **Practice address phone:** (610) 644-2020
- **Mailing address:** 500 CHESTERBROOK BLVD, STE C5A, WAYNE, PA 19087-5608
- **Mailing address phone:** (610) 644-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 01/17/2009