Henry B Samson

Primary specialty

OptometristTaxonomy code 152W00000X

License

769 Issued in CT

Legal business name

HENRY B SAMSON

Practice address

100 York St
Suite 2K
New Haven, CT 06511-5620

Phone

(203) 624-3896

NPI assigned

Jan 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Henry Bernard Samson, O.D.

Title

Owner

Phone

(203) 624-3896

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201305600000",
    "number": "1265619845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YORK ST",
            "address_2": "SUITE 2K",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115620",
            "telephone_number": "203-624-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YORK ST",
            "address_2": "SUITE 2K",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115620",
            "telephone_number": "203-624-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY B SAMSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-26",
        "last_updated": "2008-01-26",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-624-3896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "090000769CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "006518",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0206420001",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OVO398",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4143570-002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Hennein, MD, PHD
• Malinda Ann Hennen, PH.D.
• Janet B Henrich, MD
• Jessica Henrick, RDH
• Suzan Henriquez-Whitted, MA
• Christine St Theresa Henry, PRACTICAL NURSE
• Lucas Shawn Henry, M.D.
• Susan P. Henry, R.N.
• Gillian Fabian Hepburn, PA
• Peter Noel Herbert, MD

• Optometrist in New Haven, CT
• Providers in New Haven, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2008; 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.