Active NPI
Henry Banh, OD
- Optometrist
- Bronx, NY
National Provider Identifier
1619641487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009429
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyes & Optics Encounter Inc | Current | Accepting new patients | |
| Bronx Vision Center Inc. | Optometrist | Current | 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.
-
- Optometrist
- Bronx, NY
- NPI 1952641821
-
- Eyewear Supplier
- Bronx, NY
- NPI 1326446469
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.