HENDRICKSON EYE CLINIC PA (NPI# 1881770527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881770527 |
| Entity Type | Organization |
| Organization Name | HENDRICKSON EYE CLINIC PA |
| Other Organization Name | RICHARD HENDRICKSON |
| Practice Address |
701 Locust St Conway AR 72034 |
| Practice Telephone | 5013291151 |
| Practice Fax Number | 5013292498 |
| Mailing Telephone | 5013291151 |
| Mailing Fax Number | 5013292498 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD OLEN HENDRICKSON JR. (PHYSICIAN) |
| Authorized Official Telephone | 5013291151 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | C4491 | AR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Richard Hendrickson | Other Name - Individual/Organization |
| Street Address |
701 LOCUST ST |
| City | CONWAY |
| State | AR |
| Zip Code | 72034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306116256 | Atlantic Eye Associates | Ophthalmology | 8028 Myrtle Trace Dr, Conway, SC 29526-8945 | 2012-01-10 |
| 1720187172 | Vaught Eye Associates, Pa | Ophthalmology | 1406 Main St, Conway, SC 29526-3567 | 2006-09-22 |
| 1265091318 | Mike S Mcfarland Mdpa | Ophthalmology | 1400 Old Morrilton Hwy, Conway, AR 72032-3513 | 2019-06-12 |
| 1942660931 | Vaught Eye Associates,pa | Ophthalmology | 1406 Main St, Conway, SC 29526-3567 | 2016-03-03 |
| 1720476310 | Magie Smith Charton Eye Clinic Pa | Ophthalmology | 924 Main St, Conway, AR 72032-5424 | 2015-01-05 |
| 1518226372 | Nicholas Darrow Marchase | Ophthalmology | 1404 Main St, Conway, SC 29526-3567 | 2012-05-14 |
| 1881897817 | Justin Wayne Charton | Ophthalmology | 924 Main St, Conway, AR 72032-5424 | 2007-06-07 |
| 1013975010 | George M. Sandoz | Ophthalmology | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-05-02 |
| 1023092343 | Melanie F. Smith | Ophthalmology | 924 Main St, Conway, AR 72032-5424 | 2005-11-30 |
| 1235129552 | David Littleton Baker Jr. | Ophthalmology | 810 Merriman St, Conway, AR 72032-4436 | 2005-10-27 |
| Find all providers in CONWAY | ||||
Please comment or provide details below to improve the information on HENDRICKSON EYE CLINIC PA.
| 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.