DR. GOMESINDO EDWARD HENDRICKS (O.D.) – Optometrist, NPI 1316999436

DR. GOMESINDO EDWARD HENDRICKS (O.D.) is a healthcare provider. based in Henderson, Nevada. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. NV0196 (NV). The NPI Number for DR. GOMESINDO EDWARD HENDRICKS (O.D.) is 1316999436

Main info

Male
Sole Proprietor
44 Years Of Experience
Name
DR. GOMESINDO EDWARD HENDRICKS (O.D.)
NPI
1316999436
Phone
(702) 565-7579
Address
61 E LAKE MEAD PKWY
Enumeration Date
17 May 2006
Last Update Date
13 April 2012

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
7026512020
Graduation Year
1982 (44 years ago)
PAC ID
5799952099
Group Practice PAC ID
3476630369
Professional Enrollment ID
I20120126000406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. GOMESINDO EDWARD HENDRICKS (O.D.)

  • 61, East Lake Mead Parkway, Water Street District, Henderson, Clark County, Nevada, 89015, United States

    HENDERSON, NV 890155531

    Phone: (702) 565-7579

    Fax: (702) 564-6060

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120126000406IOptometryNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476630369View full group profile
NameSpecialtyState
O P T O M E T R YNV
O P T O M E T R YNV

Reviews

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Frequently asked questions

What is the standard ID for DR. GOMESINDO EDWARD HENDRICKS (O.D.) in the U.S.?
In the U.S., DR. GOMESINDO EDWARD HENDRICKS (O.D.) is identified by NPI 1316999436.
Is DR. GOMESINDO EDWARD HENDRICKS (O.D.)'s NPI status active today?
Active status means DR. GOMESINDO EDWARD HENDRICKS (O.D.)'s NPI record is not deactivated in the public file.
What services align with DR. GOMESINDO EDWARD HENDRICKS (O.D.)'s listing?
DR. GOMESINDO EDWARD HENDRICKS (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. GOMESINDO EDWARD HENDRICKS (O.D.) tied to Henderson, Nevada?
If you are local to Henderson, Nevada, DR. GOMESINDO EDWARD HENDRICKS (O.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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