Individual provider Active NPI

Henry Banh, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1619641487
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009429 Issued in NY
Practice address
417 E 138TH St
Bronx, NY 10454-3004
Phone
(917) 891-8555
Fax
(917) 891-8556
NPI assigned
Aug 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009429 NY Primary

Addresses

Primary practice location

417 E 138TH St
Bronx, NY 10454-3004

Mailing address

6148 N 4TH St
Philadelphia, PA 19120-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20211213000691 NY Practitioner - Optometry 5395135065 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes & Optics Encounter Inc CurrentSince Feb 1, 2023 Accepting new patients
Bronx Vision Center Inc. Optometrist CurrentSince Dec 8, 2021 Accepting new patients

Locations

76 E 170th St
Bronx, NY 10452
Phone (212) 879-6642

1955 Turnbull Ave
Bronx, NY 10473
Phone (718) 430-9776

417 E 138th St
Bronx, NY 10454
Phone (917) 642-1035

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1619641487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6148 N 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E 138TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104543004",
            "telephone_number": "917-891-8555",
            "fax_number": "917-891-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANH",
        "first_name": "HENRY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.