Individual provider Active NPI

Jay William Henry, O.D.

  • Optometrist
  • Pickerington, OH
National Provider Identifier
1437154044
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH 4937 / T1807 Issued in OH
Practice address
650 Hill Rd N
Pickerington, OH 43147-9201
Phone
(614) 833-2400
Fax
(614) 833-6559
NPI assigned
Jun 20, 2005
Last updated
May 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OH 4937 / T1807 OH Primary

Addresses

Primary practice location

650 Hill Rd N
Pickerington, OH 43147-9201

Mailing address

650 Hill Rd N
Pickerington, OH 43147-9201
Phone (614) 833-2400

Other identifiers 1

IdentifierTypeStateIssuer
2105617MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20100204000144 OH Practitioner - Optometry 5496789760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Hermann and Henry Eyecare IncGroup PAC ID 2961436225, 3 clinicians

Practice addresses (Care Compare)

650 Hill Rd N
Pickerington, OH 43147-9201
Phone (614) 833-2400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH 4937 / T1807OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hermann & Henry Eyecare, Inc Optometrist CurrentSince Jan 1, 2002 Accepting new patients
Eye Surgery Consultants Inc. PastSince Jan 1, 2002 Accepting new patients

Locations

650 Hill Rd N
Pickerington, OH 43147
Phone (614) 833-2400

Interoperability endpoints

  • Direct secure messaging: jhenry@hheyecare.eyeclinicdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1437154044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479201",
            "telephone_number": "614-833-2400",
            "fax_number": "614-833-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479201",
            "telephone_number": "614-833-2400",
            "fax_number": "614-833-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JAY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH 4937  / T1807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105617",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.