Individual provider Active NPI

Henry Daniel Patterson, O.D., M.S.

  • Optometrist
  • Burney, CA
National Provider Identifier
1164710745
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14348 Issued in CA
Practice address
37333 State Highway 299 E
Burney, CA 96013-4371
Phone
(530) 335-2233
Fax
(530) 335-3933
NPI assigned
Jul 15, 2011
Last updated
Jan 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6063/T2978 OH
Optometrist 152W00000X 14348 CA Primary

Addresses

Primary practice location

37333 State Highway 299 E
Burney, CA 96013-4371

Mailing address

37333 State Highway 299 E
Burney, CA 96013-4371
Phone (530) 335-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120203000760 CA Practitioner - Optometry 2163691122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37333 Hwy 299 E
Burney, CA 96013-4371
Phone (530) 335-2233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.02 of 100Reported as individual
Quality
92.4
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6063OHMDPsychologist
6063/T2978OHMDOptometrist
14348CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry D Patterson, OD a Professional Optometric Corporation Optometrist CurrentSince Jun 8, 2012 Accepting new patients
Wesley J Harnish MD Optometrist Past Accepting new patients
Clear Choice Audiology, LLC Past Accepting new patients
Kristi K Davis OD Inc Optometrist PastSince Jun 8, 2012 Accepting new patients

Locations

37333 State Highway 299 E
Burney, CA 96013
Phone (530) 335-2233

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1164710745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37333 STATE HIGHWAY 299 E",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134371",
            "telephone_number": "530-335-2233",
            "fax_number": "530-335-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37333 STATE HIGHWAY 299 E",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134371",
            "telephone_number": "530-335-2233",
            "fax_number": "530-335-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "HENRY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6063/T2978",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burney, CA

Sources for this page

Verify at the official NPI Registry.