Andrew Henderson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3023 Issued in OK

Practice address

14701 N Santa Fe Ave
Edmond, OK 73013-3411

Phone

(405) 752-2733

NPI assigned

Jul 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Colorado Springs, PC.Group PAC ID 6305735952, 16 clinicians

Simmons Eye AssociatesGroup PAC ID 5890915490, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.82 of 100Reported as group

Quality

51.42

Improvement activities

40

Cost

74.64

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Eye Associates of Colorado Springs, PC

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1982655767

  Optometrist

  Medicare reassignment Care Compare group NPD
• Simmons Eye Associates

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1932517869

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Associates of Colorado Springs, PC

  • Ophthalmology Physician
  • Pueblo, CO
  • NPI 1235802943
  NPD
• Simmons Eye Associates

  • Optometrist
  • Colorado Springs, CO
  • NPI 1609498906
  NPD

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1699328013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N ROBINSON AVE APT 221",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731034916",
            "telephone_number": "847-337-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 N SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133411",
            "telephone_number": "405-752-2733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10900 Hefner Pointe Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731205065",
            "country_code": "US",
            "telephone_number": "405-842-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexi Heiden, OTR
• Samantha Heidt-Pratt
• Belema Helaire, MHR, LPC
• Skye Clarice Helker
• Samantha Kate Hemenway, RN
• Brooke Henderson, APRN-CNP
• Drew Riley Henderson, APRN-CNP
• Shakeal N Henderson
• Janet York Hendrick, D.D.S.
• Dawson Scott Hendricks

• Optometrist in Edmond, OK
• Providers in Edmond, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.