Search › Wisconsin › 152W00000X
Charles Hendrix, OD
NPI 1588747547 · on the registry since 2006
Practice
- Address
- 240 Corporate Drive
Beaver Dam, WI 53916 - Phone
- (920) 887-1151
- Organisation at this address
- Vita Park Eye Associates, Sc
Vita Park Eye Associates, Sc
Beaver Dam Community Hospitals IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152WC0802X
152WP0200X
152WV0400X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin