Individual provider Active NPI

James Robert Henslick, OD

  • Optometrist
  • Laguna Niguel, CA
National Provider Identifier
1437214632
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 9009 TPL Issued in CA
Practice address
27451 La Paz Rd
Suite B
Laguna Niguel, CA 92677-4082
Phone
(949) 643-2020
Fax
(949) 643-9061
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 9009 TPL CA Primary

Addresses

Primary practice location

27451 La Paz Rd
Suite B
Laguna Niguel, CA 92677-4082

Mailing address

27451 La Paz Rd
Suite B
Laguna Niguel, CA 92677-4082
Phone (949) 643-2020

Other identifiers 1

IdentifierTypeStateIssuer
SD0090090MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041013000745 CA Practitioner - Optometry 5395705560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 9009 TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Dec 9, 2020 Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

27451 La Paz Rd
Ste B
Laguna Niguel, CA 92677
Phone (949) 643-2020

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

27271 Las Ramblas
Ste 200
Mission Viejo, CA 92691
Phone (949) 651-7236

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1437214632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27451 LA PAZ RD",
            "address_2": "SUITE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774082",
            "telephone_number": "949-643-2020",
            "fax_number": "949-643-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27451 LA PAZ RD",
            "address_2": "SUITE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774082",
            "telephone_number": "949-643-2020",
            "fax_number": "949-643-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLICK",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 9009 TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0090090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.