Amy D Henson OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1574DT Issued in KY

Legal business name

AMY D HENSON OD PLLC

Practice address

1360 Willie Cheek Rd
London, KY 40744-7445

Phone

(606) 330-0946

Fax

(606) 330-0946

NPI assigned

Aug 1, 2007

Last updated

Jul 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy Denise Henson, OD

Title

Owner

Phone

(606) 330-0946

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1306037668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 WILLIE CHEEK RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407447445",
            "telephone_number": "606-330-0946",
            "fax_number": "606-330-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 WILLIE CHEEK RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407447445",
            "telephone_number": "606-330-0946",
            "fax_number": "606-330-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY D HENSON OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-330-0946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1574DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "340891",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in London, KY
• Providers in London, KY by specialty
• Optometrist in Kentucky

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