Charles P Hendrix (NPI# 1588747547, PAC ID# 6103910302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1588747547 |
| PAC ID by PECOS | 6103910302 |
| Professional Enrollment ID | I20070919000346 |
| Full Name | Charles P Hendrix |
| Organization Legal Name | VITA PARK EYE ASSOCIATES SC |
| Address |
140 Gateway Dr Waupun WI 53963-2276 |
| Phone Number | 9203243191 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1993 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8527956754 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 140 Gateway Dr, Waupun, WI 53963-2276 | 9203243191 | VITA PARK EYE ASSOCIATES SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 97% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% |
| Organization Legal Name | VITA PARK EYE ASSOCIATES SC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cory Alan Springstroh | Optometry | Vita Park Eye Associates Sc | 240 Corporate Dr, Beaver Dam, WI 53916-3115 |
| Thomas A Castillo | Ophthalmology | Vita Park Eye Associates Sc | 240 Corporate Dr, Beaver Dam, WI 53916-3115 |
| Jay M Wilkins | Ophthalmology | Vita Park Eye Associates Sc | 240 Corporate Dr, Beaver Dam, WI 53916-3115 |
| Erik O Schoff | Ophthalmology | Vita Park Eye Associates Sc | 140 Gateway Dr, Waupun, WI 53963-2276 |
| Street Address |
140 GATEWAY DR |
| City | WAUPUN |
| State | WI |
| Zip | 53963-2276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik O Schoff | Ophthalmology | Vita Park Eye Associates Sc | 140 Gateway Dr, Waupun, WI 53963-2276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mariano L Rosales Jr. | Internal Medicine | 600 Fern St, Waupun, WI 53963-1018 | |
| Michael J Vandecastle | Chiropractic | 16 N Madison St, Waupun, WI 53963-1129 | |
| Mitchell W Johnson | Chiropractic | 716 W Main St, Waupun, WI 53963-1230 | |
| Jodi R Budwit | Nurse Practitioner | Agnesian Healthcare Inc | 10 Pluim Dr, Waupun, WI 53963-1564 |
| Jennifer A Bara | Podiatry | Preferred Podiatry Group PC | 10 Pluim Dr, Waupun, WI 53963-1564 |
| Lifang Liu | Pathology | Fond Du Lac Pathology Consultants | 620 W Brown St, Waupun, WI 53963-1702 |
| Christopher C Tuveson | Urology | Agnesian Healthcare Inc | 608 W Brown St, Waupun, WI 53963-1702 |
| Aaron H Thornton | Certified Registered Nurse Anesthetist (crna) | Agnesian Healthcare Inc | 620 W Brown St, Waupun, WI 53963-1702 |
| Anthony K Strigenz | Anesthesiology | Agnesian Healthcare Inc | 620 W Brown St, Waupun, WI 53963-1702 |
| Amy E Fannin | Nurse Practitioner | Agnesian Healthcare Inc | 608 W Brown St, Waupun, WI 53963-1702 |
| Find all physicians in zip 53963 | |||
| City | WAUPUN |
| Zip Code | 53963 |
| Specialty | OPTOMETRY |
| City + Specialty | WAUPUN + OPTOMETRY |
Please comment or provide details below to improve the information on Charles P Hendrix.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.