Blake Henson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002823 Issued in AZ

Practice address

1500 S Dobson Rd Ste 313
Mesa, AZ 85202-4752

Phone

(480) 561-6000

NPI assigned

Jun 4, 2018

Sex

Male

Sole proprietor

No

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 AZ

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

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carrot Eye Center PLLCGroup PAC ID 4981946654, 5 clinicians

Practice addresses (Care Compare)

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.

• Carrot Eye Center, PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Mesa, AZ
  • NPI 1437615010
  Medicare reassignment Care Compare group NPD
• Henson Family Services LLC

  • Assistant Behavior Analyst
  • Sparks, NV
  • NPI 1235661901
  NPD (past)

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1144712225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD STE 313",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024752",
            "telephone_number": "480-561-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD STE 313",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024752",
            "telephone_number": "480-561-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "BLAKE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Henry
• Paula Henry, COTA
• Susan Jean Henry, BS, CLINICIAN I
• Wallace Henry Jr.
• Caroline Anne Hensley, BSN, RN
• Nicole Henson
• Tasha Henstein, RPH
• Sheri F. Hentz, OT
• Angela R Hepworth, BCBA, LBA
• Monika Anna Herdzik, MD

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.