Individual
DR. TIMOTHY DALE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 TOWNE CENTER BLVD, SUITE 502, POOLER, GA 31322-4052
(912) 748-1272
(912) 748-1996
Mailing address
1000 TOWNE CENTER BLVD, SUITE 502, POOLER, GA 31322-4052
(912) 748-1272
(912) 748-1996
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 002025
GA
152W00000X
Optometrist
SC 1345
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DAG 979
—
SC
Enumeration date
09/21/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us