Henderson Family Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HENDERSON FAMILY EYE CARE, PLLC

Practice address

401 E Main St
Henderson, TN 38340-2439

Phone

(731) 435-1275

Fax

(731) 435-1276

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Karen Nicole Johnson, O.D.

Title

Owner

Phone

(731) 435-1275

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1376943563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402439",
            "telephone_number": "731-435-1275",
            "fax_number": "731-435-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402439",
            "telephone_number": "731-435-1275",
            "fax_number": "731-435-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-435-1275",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513685",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Hall, LCSW
• Kase M Hamm, FNP-C
• Hardeman County Community Health Center
• Kristy Michelle Hayes
• Amanda L Hearn, NP-C
• Henderson Health and Rehabilitation Center, LLC
• Henderson Operating Group LLC
• Henderson Residential, LLC
• HFP Clinical Services LLC
• Traci Kyle Hill, FNP-BC

• Optometrist in Henderson, TN
• Providers in Henderson, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.