Dr. Timothy Dale Hendricks is a Pooler, Georgia based male Optometrist with 22 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Timothy Dale Hendricks is OPT 002025 for Optometry in Georgia. Dr. Timothy Dale Hendricks examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Timothy Dale Hendricks speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
22+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
2002
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1000 Towne Center Blvd, Suite 502, Pooler, Georgia, 31322-4052
Phone:
912-748-1272
Fax:
912-748-1996
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2163417684
Enrollment ID:
I20040416000149
NPI Number:
1487753141
NPI Enumeration Date:
21 Sep, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Timothy Dale Hendricks are as mentioned below.
License Number
Specialization
State
Status
OPT 002025
Optometry
Georgia
Primary
SC 1345
Optometry
South Carolina
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Timothy Dale Hendricks has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Low Country Eye Associates, Pc (8729984786)
8
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Timothy Dale Hendricks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DAG 979
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1000 Towne Center Blvd, Suite 502 Pooler, Georgia
Zip:
31322-4052
Phone Number:
912-748-1272
Fax Number:
912-748-1996
Patients can reach Dr. Timothy Dale Hendricks at 1000 Towne Center Blvd, Suite 502, Pooler, Georgia or can call to book an appointment on 912-748-1272. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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