William James Henderson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1760 Issued in NC

Practice address

6311 Carmel Rd
Charlotte, NC 28226-8246

Phone

(704) 542-2844

Fax

(704) 542-3386

NPI assigned

Jul 7, 2005

Last updated

May 20, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1396742094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 CARMEL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268341",
            "telephone_number": "704-542-2844",
            "fax_number": "704-542-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 CARMEL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268246",
            "telephone_number": "704-542-2844",
            "fax_number": "704-542-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "093CE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurdes Blanca Henderson, MS, LCMHCA
• Melissa Y Henderson
• Olivia Marie Henderson
• Regina L. Henderson, D.D.S
• Sydnee Jaye Henderson
• Jill Lynne Hendra, DO
• Hendrick Home Care, LLC
• Danielle Nicole Hendrick, MD
• David Keaton Hendrix
• Kimberly Black Hendrix, M.D.

• Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.