Individual provider · Type 1 NPI
Sean David Hendricks, MD
Retina Specialist (Ophthalmology) Physician · Springfield, IL
NPI number
1164583084
Active
Practice location
2020 W Iles Ave
Springfield, IL 62704-4174
Fax (217) 698-4728
Other practice locations
- 4800 Maine St, Quincy, IL 62305-5875 · (217) 223-8400
- 15795 Paul Vega Md Drive, Hammond, LA 70403 · (985) 230-3937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | 026330 (LA) |
| Ophthalmology Physician | 207W00000X | 42382 (TN) |
| Ophthalmology Physician | 207W00000X | 20248 (MS) |
| Ophthalmology Physician | 207W00000X | 026330 (LA) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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About NPI 1164583084
Sean David Hendricks, MD's National Provider Identifier is 1164583084, issued on Dec 13, 2006. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Springfield, IL. The record was last updated on Dec 4, 2025.