Neil F. Henninger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV-005362-1 Issued in NY

Practice address

11 E Main St
Trumansburg, NY 14886

Phone

(607) 387-7327

Fax

(607) 387-3500

NPI assigned

Jul 9, 2005

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 NY

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

New England College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trumansburg Optical PCGroup PAC ID 8527098243, 2 clinicians

Practice addresses (Care Compare)

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.

• Trumansburg Optical PC

  • Eyewear Supplier
  • Trumansburg, NY
  • NPI 1184755837
  Medicare reassignment Care Compare group Authorized official
• Empire Vision Center Inc

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  NPD (past)
• Empire Vision Center, Inc

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD (past)

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1174521579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148860474",
            "telephone_number": "607-387-7327",
            "fax_number": "607-387-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E MAIN ST",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "14886",
            "telephone_number": "607-387-7327",
            "fax_number": "607-387-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGER",
        "first_name": "NEIL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-005362-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Gallegos, PHARMD
• Lisa I Glasner, MS., CCC-SLP
• Annalee Margaret Griffen, LMSW
• Shern Hart, M.D.
• Gerrit W Heetderks, MD
• Andrea Louise Isacks, LCSW-R
• Bryan L Isacks Jr., M.S., L.AC.
• Ithaca Alpha House Center, Inc.
• Alison D James, OTR
• Sharlyn Joan Keegan, M.S, CCC/SLP

• Optometrist in Trumansburg, NY
• Providers in Trumansburg, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.