Dr. Noel Henry,O.D.,P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. NOEL HENRY,O.D.,P.A.

Practice address

2855 N Old Lake Wilson Road
Located Inside Walmart
Kissimmee, FL 34747-1821

Phone

(407) 465-0272

Fax

(407) 396-0241

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Noel Henry, O.D.

Title

Optometrist

Phone

(407) 465-0272

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1396074696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13506 SUMMERPORT VILLAGE PKWY",
            "address_2": "SUITE 254",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867366",
            "telephone_number": "407-465-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N OLD LAKE WILSON ROAD",
            "address_2": "LOCATED INSIDE WALMART",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471821",
            "telephone_number": "407-465-0272",
            "fax_number": "407-396-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NOEL HENRY,O.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "407-465-0272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.