Organization
HENDRIXS EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HENDRIX O.D. (OWNER)
(321) 383-1332
Entity
Organization
Contact information
Practice address
1917 KNOX MCRAE DR, TITUSVILLE, FL 32780-5360
(321) 383-1332
(321) 383-1243
Mailing address
1917 KNOX MCRAE DR, TITUSVILLE, FL 32780-5360
(321) 383-1332
(321) 383-1243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11380258
CAQH
FL
01
—
1750322871
NPI #
FL
01
—
20033
BLUE CROSS
FL
01
—
OPC3713
LICENSE
FL
Enumeration date
01/07/2016
Last updated
01/07/2016
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