Organization
HENDRIX OPTOMETRIC CORPORATION
Active
Other names
EYEWORKS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL R. BAKER O.D. (PRESIDENT)
(812) 882-4809
Entity
Organization
Contact information
Practice address
223 MAIN ST, VINCENNES, IN 47591-1208
(812) 882-4809
(812) 882-9485
Mailing address
223 MAIN ST, VINCENNES, IN 47591-1208
(812) 882-4809
(812) 882-9485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56000051A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100319410A
—
IN
01
—
258660
MEDICARE GROUP
IN
Enumeration date
04/13/2007
Last updated
06/23/2016
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