NPIMap

Organization Active NPI

Karen Henson OD PC

Doing business as La Grange Vision Center

  • Optometrist
  • La Grange, TX
National Provider Identifier
1639162019
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4484T Issued in TX
Legal business name
KAREN HENSON OD PC
Doing business as
La Grange Vision Center
Practice address
1630 W State Highway 71
La Grange, TX 78945-5138
Phone
(979) 968-8987
Fax
(979) 968-8757
NPI assigned
Aug 31, 2005
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Karen Ann Henson, O.D.NPI 1891975314
Title
OD
Phone
(979) 968-8987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4484T TX Primary

Addresses

Primary practice location

1630 W State Highway 71
La Grange, TX 78945-5138

Mailing address

1630 W State Highway 71
La Grange, TX 78945-5138
Phone (979) 968-8987

Other identifiers 2

IdentifierTypeStateIssuer
00E48ZOtherTXBCBS
0087QVOtherTXBCBS

Other names 1

  • La Grange Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

1412 W State Highway 71
Ste 109
Bastrop, TX 78602
Phone (512) 303-5959

501 Main St
Smithville, TX 78957
Phone (512) 308-7904

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1639162019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 W STATE HIGHWAY 71",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789455138",
            "telephone_number": "979-968-8987",
            "fax_number": "979-968-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W STATE HIGHWAY 71",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789455138",
            "telephone_number": "979-968-8987",
            "fax_number": "979-968-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN HENSON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "979-968-8987",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4484T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00E48Z",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0087QV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Grange Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Grange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.