Charlene Keating Henderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1732 Issued in NC

Practice address

16721 Orchard Stone Run
Charlotte, NC 28277-3823

Phone

(704) 817-3800

NPI assigned

Oct 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blink Eye Care and Eye Wear OD PAGroup PAC ID 4587703582, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blink Eye Care and Eye Wear OD., PA

  • Optometrist
  • Charlotte, NC
  • NPI 1356675532
  Medicare reassignment Care Compare group NPD
• Charlotte Ophthalmology Clinic P.a.

  • Ophthalmology Physician
  • Huntersville, NC
  • NPI 1558565473
  NPD (past)
• Charlotte Ophthalmology Clinic P.a.

  • Ophthalmology Physician
  • Huntersville, NC
  • NPI 1851356844

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1083866610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16721 ORCHARD STONE RUN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773823",
            "telephone_number": "704-817-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16721 ORCHARD STONE RUN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773823",
            "telephone_number": "704-817-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CHARLENE",
        "middle_name": "KEATING",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Boone Henderlite
• Robert L Henderlite
• Jon Paul Hendershot, PA-C
• Carolyn J Henderson, NCC, LPCA
• Cathy Henderson, Q.P., B.A.
• Corey Henderson, LPC, NCC
• David Anthony Henderson, MD
• Deana Elizabeth Henderson, FNP
• Geneva Antionette Henderson, LPC
• Jasona Henderson

• Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.