Individual provider Active NPI

Henry Frank Storey, O.D.

  • Optometrist
  • Stayton, OR
National Provider Identifier
1043389281
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1174ATI Issued in OR
Practice address
515 N 3Rd Ave
Stayton, OR 97383-1729
Phone
(503) 769-3441
Fax
(503) 769-1419
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1174ATI OR Primary

Addresses

Primary practice location

515 N 3Rd Ave
Stayton, OR 97383-1729

Mailing address

515 N 3Rd Ave
Stayton, OR 97383-1729
Phone (503) 769-3441

Other identifiers 1

IdentifierTypeStateIssuer
181982MedicaidOR

Other names 1

  • Dr. H. F. Storey Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001656 OR Practitioner - Optometry 5991815995 Receives reassigned benefits from 1 practitioner
Practice locations: Stayton, OR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

515 N 3Rd Ave
Stayton, OR 97383-1729
Phone (503) 769-3441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: drstorey@santiamvisionsource.eyeclinicdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1043389281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N 3RD AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831729",
            "telephone_number": "503-769-3441",
            "fax_number": "503-769-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 3RD AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831729",
            "telephone_number": "503-769-3441",
            "fax_number": "503-769-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOREY",
        "first_name": "HENRY",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1174ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181982",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H.",
            "last_name": "STOREY",
            "middle_name": "F.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stayton, OR

Sources for this page

Verify at the official NPI Registry.