Hendrix, John Perry
Hendrix, John Perry is an individual health care provider with primary practice located at 730 Northside Dr E , Statesboro GA 30458-4766. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hendrix, John Perry can be contacted via phone (912) 764-7352.Contact Information
Primary practice address
730 Northside Dr E
Statesboro GA 30458-4766
Phone: (912) 764-7352
Fax: (912) 681-8333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 920-OD | West Virginia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | GA-OPT000856 | Georgia |
Profile Details
| NPI number | 1558339135 |
|---|---|
| LBN Legal business name | Hendrix, John Perry |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | May 5th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558339135 | NPPES |
| West Virginia | MEDICAID | 0150605001 | |
| West Virginia | MEDICAID | 0150072000 | |
| West Virginia | MEDICAID | 010049211 |
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