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Deactivated NPI 1861484909 Deactivated / Inactive NPI Male Practitioner

Dr. Clifford A Hendricks , MD

Ophthalmology • Cedar Rapids, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Clifford Hendricks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2005
NPI Deactivation Date September 05, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Clifford Hendricks, MD was a registered Ophthalmology practicing in Cedar Rapids, IA. Throughout an active medical career spanning 13 years, Dr. Hendricks provided care at the practice location at 1136 H AVE NE until profile deactivation on 2018-09-05.

Practice Location & Contact Primary Location

Practice Address

1136 H Ave Ne

Cedar Rapids, IA 524024624

Telephone 3193656946
Fax 3193620655
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Cedar Rapids, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.9 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
14 Specialists

Practicing in Cedar Rapids, IA (233 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IA 15724

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1417940081

Doctor of Medicine (M.D.)

NPI 1518951433

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 05, 2018

Record deactivated on September 05, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1136 H AVE NE, CEDAR RAPIDS, IA 524024624 (Tel: 3193656946)

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Updated Business Mailing Address July 08, 2007

Registered at 1136 H AVE NE, CEDAR RAPIDS, IA 524024624 (Tel: 3193656946)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CLIFFORD HENDRICKS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #15724 in IA)

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Initial NPI Registration & Enumeration August 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861484909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2005
Last Update: July 08, 2007
Deactivation Date: September 05, 2018

Mailing Address

1136 H Ave Ne

Cedar Rapids, IA 524024624

Phone: 3193656946

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.