Dr Timothy Dale Hendricks, OD | |
1000 Towne Center Blvd, Suite 502, Pooler, GA 31322-4052 | |
(912) 748-1272 | |
(912) 748-1996 |
Full Name | Dr Timothy Dale Hendricks |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 22 Years |
Location | 1000 Towne Center Blvd, Pooler, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487753141 | NPI | - | NPPES |
DAG 979 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT 002025 (Georgia) | Primary |
152W00000X | Optometrist | SC 1345 (South Carolina) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Low Country Eye Associates, Pc | 8729984786 | 8 |
Provider Name | Low Country Eye Associates, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225173578 PECOS PAC ID: 8729984786 Enrollment ID: O20031210000413 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy Dale Hendricks, OD 1000 Towne Center Blvd, Suite 502, Pooler, GA 31322-4052 Ph: (912) 748-1272 | Dr Timothy Dale Hendricks, OD 1000 Towne Center Blvd, Suite 502, Pooler, GA 31322-4052 Ph: (912) 748-1272 |
James H Treston, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 160 Pooler Pkwy, Pooler, GA 31322 Phone: 912-748-9597 | |
Dr. William Allen Herren, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Mill Creek Circle, Pooler, GA 31322 Phone: 912-748-9646 Fax: 912-748-9664 | |
Dr. Benjamin Johnson Crider, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 Grand Central Blvd Ste 110, Pooler, GA 31322 Phone: 912-450-9200 Fax: 912-450-9201 | |
Low Country Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 1000 Towne Center Blvd Ste 502, Pooler, GA 31322 Phone: 912-748-1272 Fax: 912-748-1996 | |
Chelsea Sceusa, OD Optometrist Medicare: Medicare Enrolled Practice Location: 200 Mosaic Cir, Pooler, GA 31322 Phone: 912-348-4584 | |
Eyes On Pooler, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 160 Pooler Pkwy, Pooler, GA 31322 Phone: 912-748-9597 Fax: 912-748-9551 |