DR. GORDON C. HENDRICKS (NPI# 1578573754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578573754 |
| Entity Type | Individual |
| Full Name | DR. GORDON C. HENDRICKS |
| Credential | O.D., M.S. |
| Practice Address |
5001 N Piedras St El Paso TX 79930-4210 |
| Mailing Address |
1024 Calle Milagro Dr El Paso TX 79912-7520 |
| Practice Telephone | 9155646116 |
| Mailing Telephone | 9158429606 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4814TG | TX | Eye and Vision Services Providers |
| Street Address |
5001 N PIEDRAS ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79930-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031248 | Gary Ryan | Obstetrics & Gynecology | 5001 N Piedras St, El Paso, TX 79930-4210 | 2005-05-23 |
| 1164039228 | Leticia Vanessa Enriquez | Social Worker | 5001 N Piedras St, El Paso, TX 79930-4210 | 2020-09-23 |
| 1881207603 | Stephanie Marissa Cardenas | Nurse Practitioner | 5001 N Piedras St, El Paso, TX 79930-4210 | 2020-08-31 |
| 1497365811 | Beri Jenyse Glover | Audiologist | 5001 N Piedras St, El Paso, TX 79930-4210 | 2020-08-01 |
| 1225646193 | Alyssa Kristine Baca | Dietitian, Registered | 5001 N Piedras St, El Paso, TX 79930-4210 | 2020-07-16 |
| 1023656303 | Jessica Denise Cabrera | Registered Nurse | 5001 N Piedras St, El Paso, TX 79930-4210 | 2019-12-17 |
| 1124677158 | Uju Cindy Okechukwu | Pharmacist | 5001 N Piedras St, El Paso, TX 79930-4210 | 2019-09-11 |
| 1699329508 | Laura Liang | Social Worker | 5001 N Piedras St, El Paso, TX 79930-4210 | 2019-07-29 |
| 1881151843 | Denise Gaytan | Occupational Therapist | 5001 N Piedras St, El Paso, TX 79930-4210 | 2019-02-26 |
| 1073079315 | Deborah Kate Crush | Psychologist | 5001 N Piedras St, El Paso, TX 79930-4210 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391947 | Bertha Alicia Carvallo | Foster Care Agency | 2725 Fillmore, El Paso, TX 79930 | 2018-09-26 |
| 1326445347 | Mojgan Kaveh-talley | Internal Medicine | 5100 North Piedras Street, El Paso, TX 79930 | 2014-11-20 |
| 1053683961 | Cpap Anywhere LLC | Durable Medical Equipment & Medical Supplies | 4625 Alabama St. Ste. B, El Paso, CA 79930 | 2012-02-08 |
| 1346552791 | Mountain Star Sleep Diagnostic, LLC | Clinical Medical Laboratory | 4625 Alambama, El Paso, TX 79930 | 2010-07-13 |
| 1467687293 | Amiilis Miranda Villalobos | Physical Therapist | 5001 N. Piedras Street, Va Healthcare System, El Paso, TX 79930 | 2009-05-22 |
| 1215058763 | Olanrewaju Bamidele Obisesan | Pharmacist | 5001 North Piedras, 116, El Paso, TX 79930 | 2007-04-03 |
| 1306947619 | Debra Motto | Internal Medicine | 5001 N. Piedras St, El Paso, TX 79930 | 2006-09-26 |
| 1023110467 | Teodoro Calabig Navarro | Urology | 5001 N.piedras St., El Pas, TX 79930 | 2006-09-05 |
| 1184669145 | Serenity Outpatient Services, Inc. | Clinic/Center | 4625 Alabama St, Suite C, El Paso, TX 79930 | 2006-06-16 |
| 1841278280 | Rebecca Mitchell | Psychologist | 5001 N. Piedras, El Paso Va, El Paso, TX 79930 | 2006-01-05 |
| Find all providers in zip 79930 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471739 | Shriya Ruparel | Optometrist | 10961 Gateway Blvd W Ste 300, El Paso, TX 79935-4923 | 2019-08-09 |
| 1780237883 | El Paso West Eyecare & Contact Lens Center PC | Optometrist | 655 Sunland Park Dr Ste E1b, El Paso, TX 79912-5168 | 2019-07-18 |
| 1073171443 | Sky View Optometry Pllc | Optometrist | 2260 N Zaragoza Rd Ste A114, El Paso, TX 79938-8123 | 2019-05-31 |
| 1497256309 | Daniel & Max, LLC | Optometrist | 725 Sunland Park Dr # 225, El Paso, TX 79912-6701 | 2018-02-26 |
| 1538670252 | James Anthony Twitchell | Optometrist | 4913 Stampede Dr, El Paso, TX 79934-3370 | 2017-10-20 |
| 1982127973 | Roberto Farid Fournier | Optometrist | 8889 Gateway Blvd W Ste 1010, El Paso, TX 79925-6542 | 2017-07-21 |
| 1427461896 | Henry Vu | Optometrist | 10961 Gateway West, Ste 300, El Paso, TX 79935 | 2014-06-03 |
| 1679906127 | Syndy Jane Maynard | Optometrist | 8889 Gateway Blvd W, Suite 1010, El Paso, TX 79925-6537 | 2013-08-19 |
| 1225380587 | El Paso Eyecare Pllc | Optometrist | 9009 Gateway Blvd. South, El Paso, TX 79904 | 2012-10-11 |
| 1932411121 | Matthew Ryan Selby | Optometrist | 1796 N Zaragoza Rd, El Paso, TX 79936-7909 | 2010-07-05 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.