Henderson Eye Center,LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

215993 Issued in MA

Legal business name

HENDERSON EYE CENTER,LLC

Practice address

299 Carew St
Suite 400
Springfield, MA 01104-2301

Phone

(413) 733-1818

Fax

(413) 732-2341

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Renee Henderson, M.D.NPI 1134122666

Title

Owner

Phone

(413) 733-1818

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Renee Henderson, M.D.

  • Ophthalmology Physician
  • Springfield, MA
  • NPI 1134122666
  NPD Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386793545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CAREW ST",
            "address_2": "SUITE 400",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042301",
            "telephone_number": "413-733-1818",
            "fax_number": "413-732-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST",
            "address_2": "SUITE 400",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042301",
            "telephone_number": "413-733-1818",
            "fax_number": "413-732-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON EYE CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-733-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "215993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9720120",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helix Human Services
• Helix Human Services
• Helix Human Services
• Paul Joseph Helmuth, M.D.
• Helpstep Home Care LLC
• Pamela Renee Henderson, M.D.
• Kendall Hendrickson
• Philip Henneman, MD
• Marquis Edward Henry-Brace
• Lee Jay Khadene Henry-Thompson, CNP

• Ophthalmology Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.