Organization Active NPI

Hennis Ophthalmology

  • Ophthalmic Technician/Technologist
  • Mount Airy, NC
National Provider Identifier
1063453488
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
36197 Issued in NC
Legal business name
HENNIS OPHTHALMOLOGY
Practice address
1008 Old Rockford St
Mount Airy, NC 27030-5361
Phone
(366) 783-9222
Fax
(336) 783-9224
NPI assigned
Jun 9, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Shari Lynn Perina
Title
Office Manager
Phone
(336) 783-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/Technologist 156FX1100X 36197 NC Primary

Addresses

Primary practice location

1008 Old Rockford St
Mount Airy, NC 27030-5361

Mailing address

1008 Old Rockford St
Mount Airy, NC 27030-5361
Phone (366) 783-9222

Other names 1

  • Hennis Eye Associates Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063453488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 OLD ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305361",
            "telephone_number": "366-783-9222",
            "fax_number": "336-783-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 OLD ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305361",
            "telephone_number": "366-783-9222",
            "fax_number": "336-783-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNIS OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PERINA",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-783-9222",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NC",
            "license": "36197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hennis Eye Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.