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DR. JOHN C HENDRICKS M.D. NPI 1902849029


NPI Information

NPI: 1902849029
Provider Name: DR. JOHN C HENDRICKS, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
601 JOHN ST
SUITE M261
KALAMAZOO, MI
ZIP 49007
Phone: (269) 488-2626
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DR. John C Hendricks, M.D. is an ophthalmology in Kalamazoo, MI. The provider is 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. DR. John C Hendricks, M.D. NPI is 1902849029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 JOHN ST
SUITE M261
KALAMAZOO, MI
ZIP 49007-341
Phone: (269) 488-2626
Fax: (269) 488-2625

The enumeration date for this NPI number is 6/14/2006 and was last updated on 12/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology4301033379MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B44822MEDICARE UPIN
2CG4797MEDICARE PINMICHIGAN
35276514OTHERAETNA PIN
41803968251OTHERMICHIGANBCBS PIN
5107985OTHERGREAT LAKES HLTH PLAN
64238221-10MEDICAIDMICHIGAN
7180035486MEDICARE PINMICHIGAN
8383148262OTHEREIN-HEALTHCARE MIDWEST
90C97625076MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
104999314MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.