Henderson Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

HENDERSON OPTICAL

Practice address

804 Santa Fe Dr
Ste 100
Weatherford, TX 76086-6525

Phone

(817) 596-0277

Fax

(817) 594-0166

NPI assigned

Apr 19, 2012

Organization subpart

Yes

Parent organization

HENDERSON OPTICALAs reported in NPPES

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

Authorized official

Name

Dr. Daniel E Bruhl, M.D.

Title

Ophthalmologist

Phone

(817) 596-0277

Specialties & licenses 1

Addresses

Tax ID family

Henderson Optical2 organizations share this tax ID, including this one

Part of

Urgent Care at Memorial Hospital

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Henderson Optical

  • Optician
  • Fort Worth, TX
  • NPI 1477630754
  NPD tax ID

Locations

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1508123191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SANTA FE DR",
            "address_2": "STE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866525",
            "telephone_number": "817-596-0277",
            "fax_number": "817-594-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SANTA FE DR",
            "address_2": "STE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866525",
            "telephone_number": "817-596-0277",
            "fax_number": "817-594-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENDERSON OPTICAL",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "BRUHL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "817-596-0277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthline Medical Equipment LLC
• Healthy Haven Healthcare
• Heart Center of North Texas, PA
• Jessica Heinsen, PT
• Richard C. Heldt, M.D.
• Ashley Henderson, MD
• Sara Henley, PA
• Karen K Henry, M.A., CCC-A
• Jayson Hensley, RPH
• Amy Suzanne Henson, PA

• Optician in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Optician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.