Provider Demographics
NPI:1467802025
Name:HENDERSON, HOPE ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:HOPE
Middle Name:ANN
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 KINGSTON PIKE
Mailing Address - Street 2:SUITE 1480
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5600
Mailing Address - Country:US
Mailing Address - Phone:865-694-7527
Mailing Address - Fax:
Practice Address - Street 1:7600 KINGSTON PIKE
Practice Address - Street 2:SUITE 1480
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5600
Practice Address - Country:US
Practice Address - Phone:865-694-7527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3316152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist