Individual
JERRY ALLEN HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6005 DELMONICO DR, SUITE 140, ROCKRIMMON VISION CLINIC, COLORADO SPRINGS, CO 80919-2237
(719) 522-9393
(719) 532-1114
Mailing address
6005 DELMONICO DR, SUITE 140, ROCKRIMMON VISION CLINIC, COLORADO SPRINGS, CO 80919-2237
(719) 522-9393
(719) 532-1114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CO1973
CO
Other
Enumeration date
12/16/2005
Last updated
11/30/2010
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