Trent Chandler Henderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1795 Issued in KS

Practice address

18122 W 119TH St
Olathe, KS 66061-9532

Phone

(913) 261-8327

Fax

(913) 261-8328

NPI assigned

Jul 23, 2007

Last updated

Aug 23, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KS

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

University of Missouri St Louis - School of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ridgeview Eye Care LLCGroup PAC ID 2668547621, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ridgeview Eye Care LLC

  • Optometrist
  • Olathe, KS
  • NPI 1053599522
  Medicare reassignment Care Compare group NPD Authorized official
• Ad Astra Eye, LLC

  • Ophthalmology Physician
  • Lawrence, KS
  • NPI 1770016727
  NPD (past)
• Fairway Eye Center, Inc

  • Optometrist
  • Fairway, KS
  • NPI 1194906461
  NPD (past)
• Vitality Chiropractic and Family Wellness, LLC

  • Chiropractor
  • Shawnee, KS
  • NPI 1215350723
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1386844819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18122 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619532",
            "telephone_number": "913-261-8327",
            "fax_number": "913-261-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18122 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619532",
            "telephone_number": "913-261-8327",
            "fax_number": "913-261-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TRENT",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayford Wesley Hembree, D.C.
• Wayne R. Hemphill, O.D.
• Cynthia Spaugh Henderson, LSCSW
• David Allen Henderson, LSCSW
• Terrence Michael-Lynn Henderson, M.S., LCPC, LPC
• Celeste Hendricks
• Buffie Marie Hendrix, APRN, NP-C
• Tara Lynn Henesey, LMSW
• Carrie Nicole Henne, OTA
• Wendy Michelle Hensley, LMSW

• Optometrist in Olathe, KS
• Providers in Olathe, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.