Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK HENNIG, OD
ActiveDEREK HENNIG, OD is a Optometrist healthcare provider located in CHARLESTON, Illinois. NPI 1215466008 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CHARLESTON, IL
Registration Details
- NPI Number
- 1215466008
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2017 (9.1649265343049 yrs)
- Last Updated
- Jun 6, 2017
- License
-
046011094 (IL)
Practice Information
- Address
-
1700 18TH STCHARLESTON, IL, 619203607Browse IL providers · Browse ZIP 61920
- Phone
- 2173456600
- Fax
- 2173456622
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CHARLESTON, IL
| Name | Credential | NPI |
|---|---|---|
| MARK D. ESAREY | O.D. | 1548267099 |
| DARCY L DUZAN | O.D. | 1508886078 |
| DR. SCOTT A CLARKE | O.D. | 1336209055 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.