Hendrix, David Donald

Hendrix, David Donald is an individual health care provider with primary practice located at 1917 Knox Mcrae Dr , Titusville FL 32780-5360. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hendrix, David Donald can be contacted via phone (321) 383-1332.

Contact Information

Primary practice address
1917 Knox Mcrae Dr Titusville FL 32780-5360
Phone: (321) 383-1332
Fax: (321) 383-1243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 3713 Florida

Profile Details

NPI number 1750322871
LBN Legal business name Hendrix, David Donald
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Dec 30th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750322871 NPPES
Florida Other 1750322871 NPI
Florida Other 20033 NPI
Florida MEDICAID 620828200 NPI

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