Lawrence Burns Henry, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 9685T Issued in CA

Practice address

970 Monument St
Suite 204
Pacific Palisades, CA 90272-3800

Phone

(310) 454-4213

Fax

(310) 454-1199

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Mark R Sawusch MD Inc

  • Ophthalmology Physician
  • Pacific Palisades, CA
  • NPI 1295842292
  NPD (past)
• Ryan Taban, M.D., Inc.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1548563067
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164585972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST",
            "address_2": "SUITE 204",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723800",
            "telephone_number": "310-454-4213",
            "fax_number": "310-454-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST",
            "address_2": "SUITE 204",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723800",
            "telephone_number": "310-454-4213",
            "fax_number": "310-454-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LAWRENCE",
        "middle_name": "BURNS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 9685T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LIC. #",
            "identifier": "OPT9685T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sezin Hason
• Camille Hazen
• Jennifer Carolan Hearne, M.D., D.D.S.
• Henderson Kane and Anfruns Dental Partnership
• Heidi K Henkle, L.AC.
• Janine Higbie, CNS
• Alan Hoang
• Nathaniel Hodder-Shipp, CADC
• Cye Hoffman, PH.D.
• Ericka Hofmeyer, LMFT92232

• Optometrist in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.