| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MATTHEW S HENDRICKSON | 1164654372 | 2024-01-07 |
Matthew S Hendrickson [M] graduated in 2009 from Illinois College Of Optometry At Chicago and primarily specializes in Optometry.
Matthew S Hendrickson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164654372. Registration indicates Matthew S Hendrickson is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
| PECOS ID | 840328977 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Matthew S Hendrickson OD |
| Practice Office Address | 837 WESTMORE MEYERS RD STE A24 LOMBARD, IL US |
| Practice Office Telephone | 6304744487 |
| Mailing Address | 837 WESTMORE MEYERS RD STE A24 LOMBARD, IL 601486516 US |
| Business Telephone | 6304744487 |
| Code | Practice | License No State |
|---|---|---|
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 046010209
IL |