Max a Henry MD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

01030454A Issued in IN

Legal business name

MAX A HENRY MD

Practice address

825 N Lincoln St
Greensburg, IN 47240-1330

Phone

(812) 663-7222

Fax

(812) 663-9559

NPI assigned

Jun 2, 2009

Organization subpart

No

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

Authorized official

Name

Sharon Cameron

Title

Office Manager

Phone

(812) 372-4463

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1588890883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401330",
            "telephone_number": "812-663-7222",
            "fax_number": "812-663-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401330",
            "telephone_number": "812-663-7222",
            "fax_number": "812-663-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX A HENRY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-372-4463"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "01030454A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200823550B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100052270",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Greensburg, IN
• Providers in Greensburg, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.