Individual provider Active NPI

Michael J Henry, MD

  • Ophthalmology Physician
  • Visalia, CA
National Provider Identifier
1689644817
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A94551 Issued in CA
Practice address
5021 W Noble Ave
Suite a
Visalia, CA 93277-8310
Phone
(559) 627-9393
Fax
(559) 627-1624
NPI assigned
Jan 23, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301085099 MI
Ophthalmology Physician 207W00000X A94551 CA Primary

Addresses

Primary practice location

5021 W Noble Ave
Suite a
Visalia, CA 93277-8310

Mailing address

5021 W Noble Ave
Suite a
Visalia, CA 93277-8310
Phone (559) 627-9393

Other identifiers 2

IdentifierTypeStateIssuer
5315020937OtherMICONTROLLED SUBSTANCE
4766107MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060731000122 CA Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 4880626878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
Pennsylvania State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgical and Medical Associates, Inc.Group PAC ID 3072400431, 6 clinicians

Practice addresses (Care Compare)

5021 W Noble Ave
Suite a
Visalia, CA 93277-8310
Phone (559) 627-9393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.08 of 100Reported as group
Quality
100
Improvement activities
40
Cost
50.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery402
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
94551CAMDMarriage & Family Therapist
A94551CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgical & Medical Associates, Inc. Ophthalmology CurrentSince Aug 1, 2006 Accepting new patients
County of Tulare Current Accepting new patients
County of Tulare CurrentSince Oct 10, 2010 Accepting new patients
Henry Ford Semi Medical Group Past Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Past Accepting new patients

Locations

1062 S K St
Tulare, CA 93274
Phone (559) 684-4530

2611 N Dinuba Blvd
Visalia, CA 93291
Phone (559) 623-0700

5021 W Noble Ave
Ste A
Visalia, CA 93277
Phone (559) 627-9393

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689644817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 W NOBLE AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778310",
            "telephone_number": "559-627-9393",
            "fax_number": "559-627-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 W NOBLE AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778310",
            "telephone_number": "559-627-9393",
            "fax_number": "559-627-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301085099",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A94551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "5315020937",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4766107",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.