Michael Sentman Henderson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4789 Issued in MA

Practice address

49 Harry Kemp Way
Provincetown, MA 02657-1618

Phone

(508) 432-1400

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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.

• Mass Optometric Associates, PLLC

  • Optometrist
  • Malden, MA
  • NPI 1063610194

  MA

  Medicare reassignment
• Outer Cape Health Services

  • Federally Qualified Health Center (FQHC)
  • Harwich Port, MA
  • NPI 1255629747
  Care Compare group
• Outer Cape Health Services

  • Federally Qualified Health Center (FQHC)
  • Wellfleet, MA
  • NPI 1578726790
  Care Compare group
• Outer Cape Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wellfleet, MA
  • NPI 1114774445
  Care Compare group
• Outer Cape Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Provincetown, MA
  • NPI 1841384013
  Care Compare group

Specialty

Optometry

Education

Indiana University - School of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outer Cape Health Services Inc 51 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MA

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

State licenses

Interoperability endpoints

• Direct secure messaging: mhenderson367801@direct.ochin.org

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408752000000",
    "number": "1174589592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HARRY KEMP WAY",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571618",
            "telephone_number": "508-432-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HARRY KEMP WAY",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571618",
            "telephone_number": "508-432-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MICHAEL",
        "middle_name": "SENTMAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "879",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4789",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D08793",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harbor Health Services, Inc.
• Mahrya Katrinka Hart, RDH
• Kristin C. Hatch, LCSW
• Walter James Healey, M.D.
• Donna Kathreen Heitzman, D.C.
• Mary Ellen Henry, PH.D.,LICSW
• Mary Ann Hibino, DPT
• Honest Pharmacist Inc
• Arthur Januario
• Andrew Carl Jorgensen, M.D.

• All providers in Provincetown, MA
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; 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.