Individual provider Active NPI

William Chadwick Henson, O.D.

  • Optometrist
  • Boone, NC
National Provider Identifier
1225347958
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2196 Issued in NC
Practice address
1180 Blowing Rock Rd
Boone, NC 28607-4883
Phone
(828) 264-2020
Fax
(828) 264-8918
NPI assigned
Sep 29, 2010
Last updated
Sep 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2196 NC Primary

Addresses

Primary practice location

1180 Blowing Rock Rd
Boone, NC 28607-4883

Mailing address

1180 Blowing Rock Rd
Boone, NC 28607-4883
Phone (828) 264-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20121115000383 NC Practitioner - Optometry 1557512795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William C Henson OD PAGroup PAC ID 0749439941, 3 clinicians
Wilcox Optometry PLLCGroup PAC ID 9234533092, 8 clinicians

Practice addresses (Care Compare)

1180 Blowing Rock Rd
Suite A1
Boone, NC 28607-4600
Phone (828) 264-2020

800 Tiffany Blvd
Suite 101
Rocky Mount, NC 27804-1807
Phone 50224424205415

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2196NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
William C Henson OD PA Optometrist CurrentSince Sep 18, 2012 Accepting new patients
Wilcox Optometry PLLC Optometrist CurrentSince May 28, 2024 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

1180 Blowing Rock Rd
Ste A1
Boone, NC 28607
Phone (828) 264-2020

800 Tiffany Blvd
Ste 101
Rocky Mount, NC 27804

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1225347958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BLOWING ROCK RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074883",
            "telephone_number": "828-264-2020",
            "fax_number": "828-264-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BLOWING ROCK RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074883",
            "telephone_number": "828-264-2020",
            "fax_number": "828-264-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "WILLIAM",
        "middle_name": "CHADWICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.