Individual provider Active NPI

Patricia A Henderson, O.D.

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1124097472
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002170 Issued in IN
Practice address
744 E Atwater Ave
Bloomington, IN 47401-3634
Phone
(812) 855-8436
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana University 64 clinicians

Practice addresses (Care Compare)

744 E 3Rd St
Bloomington, IN 47405-3603
Phone (812) 855-8436

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110210000278 IN Practitioner - Optometry 3274510557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Optometrist Current Accepting new patients
Indiana University Optometrist CurrentSince May 16, 2013 Accepting new patients
Indiana University CurrentSince May 16, 2013 Accepting new patients

Locations

800 E Atwater Ave
Rm 263
Bloomington, IN 47405

744 E 3rd St
Bloomington, IN 47405
Phone (812) 855-8436

803 N Monroe St
#C
Bloomington, IN 47404
Phone (812) 855-1671

803 N Monroe St
Bloomington, IN 47404
Phone (812) 332-1262

Interoperability endpoints

  • Direct secure messaging: direct@indianaunivschoolofoptombloomingtonin.compulinkdirect.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002170 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

744 E Atwater Ave
Bloomington, IN 47401-3634

Mailing address

744 E Atwater Ave
Bloomington, IN 47401-3634
Phone (812) 855-8436

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
100184400MedicaidIN
2275916MedicaidOH

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address Direct@IndianaUnivSchoolOfOptomBloomingtonIN.CompulinkDirect.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 12, 2026.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1124097472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 E ATWATER AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474013634",
            "telephone_number": "812-855-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E ATWATER AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474013634",
            "telephone_number": "812-855-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100184400",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2275916",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@IndianaUnivSchoolOfOptomBloomingtonIN.CompulinkDirect.com",
            "affiliation": "N",
            "endpointDescription": "IUSO direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "744 E Atwater Ave",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474013634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.