Mark David Henry, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4713-T1502 Issued in OH

Practice address

784 E Main St Ste D
Lancaster, OH 43130-3983

Phone

(740) 654-9909

Fax

(740) 654-9969

NPI assigned

Sep 2, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Illinois College of Optometry at Chicago, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Vision Care of Mount Vernon IncGroup PAC ID 1850645102, 3 clinicians

Mark D Henry OD IncGroup PAC ID 8224926415, 2 clinicians

Primary Vision Care IncGroup PAC ID 3173556578, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Primary Vision Care Inc

  • Optometrist
  • Newark, OH
  • NPI 1558371153
  Medicare reassignment Care Compare group NPD Authorized official
• Primary Vision Care of Mount Vernon Inc

  • Optometrist
  • Mount Vernon, OH
  • NPI 1801329180
  Medicare reassignment Care Compare group NPD Authorized official
• Mark D Henry OD Inc

  dba Primary Vision Care

  • Optometrist
  • Lancaster, OH
  • NPI 1093895690
  Medicare reassignment Care Compare group NPD
• Primary Vision Care of Mount Vernon Inc

  dba Primary Vision Care

  • Optometrist
  • Waynesville, OH
  • NPI 1194340943
  NPD Authorized official
• Primary Vision Care of Mount Vernon Inc

  • Optometrist
  • Wilmington, OH
  • NPI 1720633209
  NPD (past) Authorized official
• Primary Vision Care, Inc.

  • Vision Therapy Optometrist
  • Newark, OH
  • NPI 1780887968
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1275527467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 E MAIN ST STE D",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303983",
            "telephone_number": "740-654-9909",
            "fax_number": "740-654-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 E MAIN ST STE D",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303983",
            "telephone_number": "740-654-9909",
            "fax_number": "740-654-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4713-T1502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197251",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dylan Hemsted
• Cynetha Nycole Henderson, DDS
• Jessica Rae Henderson
• Kacie Marie Hendricks
• Brian L Hendrickson, D.O.
• Bradley William Hensley, PHARMD
• Michele M. Hensley, M.D.
• Sarah Marie Herald-Miller, MA, CCC-SLP
• Heather Marie Herdman, CNP
• Joshua Nassir Hernandez, MD

• Optometrist in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.