Kacy Ann Henley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2934 Issued in OK

Practice address

9102 S. Toledo Ave. #a
Tulsa, OK 74137-2741

Phone

(918) 742-2055

Fax

(918) 742-0991

NPI assigned

Aug 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kacy Ann Lawson Other name

Medicare fee-for-service enrollment

Enrolled in OK

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

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.

• Terry L Lawson Ms OD PLLC

  • Optometrist
  • Tulsa, OK
  • NPI 1508055963
  Medicare reassignment NPD

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124543079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 S. TOLEDO AVE. # A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372741",
            "telephone_number": "918-742-2055",
            "fax_number": "918-742-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 S. TOLEDO AVE. #A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372741",
            "telephone_number": "918-742-2055",
            "fax_number": "918-742-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "KACY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACY",
            "last_name": "LAWSON",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Dawn Hendrix, UNDERSUPERVISION
• Paul G. Hendrix, M.D.
• Cynthia R Hengge, CADC I
• Bailey Marie Henley, BHC, BHWC, BHCM
• Cord Conner Henley
• Quentin Henley, LCSW
• Monica Sze Yin Henning, M.D.
• Henrich Dental PLC
• Franklin John Henrich, DDS
• Etienne Mathieu Henriot, D.C.

• Optometrist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Optometrist in Oklahoma

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.