Individual
DR. RALPH M HENDRIX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
864
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410038305
RAILROAD MEDICARE
NC
01
—
5809354
AETNA
NC
05
—
8906369
—
NC
01
—
9369
BCBS
NC
01
—
C6122
MEDCOST
NC
01
—
FH7000050
FIRST CAROLINA CARE
NC
Enumeration date
12/28/2006
Last updated
10/06/2008
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