Individual
DR. JOHN SCOTT HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
223 MAIN ST, VINCENNES, IN 47591-1208
(812) 882-4809
(812) 882-4859
Mailing address
1321 AUDUBON RD, VINCENNES, IN 47591-5003
(812) 882-0306
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IN1915B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083973
BLUE CROSS
IN
01
—
0327640001
DMERC
IN
01
—
351433409050
CARESOURCE/MEDICAID
IN
01
—
443490
MEDICARE RAILROAD
IN
01
—
622531
TRIGON
IN
Enumeration date
04/17/2006
Last updated
11/02/2007
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