Individual provider Active NPI

Abby Ruth Henderson, O.D.

  • Optometrist
  • Katy, TX
National Provider Identifier
1730443714
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7998TG Issued in TX
Practice address
24217 Kingsland Blvd
Katy, TX 77494-2976
Phone
(281) 644-2010
NPI assigned
Jun 25, 2012
Last updated
Jan 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7998TG TX Primary

Addresses

Primary practice location

24217 Kingsland Blvd
Katy, TX 77494-2976

Mailing address

24217 Kingsland Blvd
Katy, TX 77494-2976
Phone (281) 644-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130221000098 TX Practitioner - Optometry 4587819693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson Vision Group PAGroup PAC ID 3072700137, 3 clinicians

Practice addresses (Care Compare)

2518 Richmond Ave
Houston, TX 77098-3209
Phone (713) 522-2522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Vision Group PA Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Med Southwest, PLLC Optometrist Past Accepting new patients
Theramedic Rehab and Physical Therapy LLC PastSince Dec 4, 2017 Accepting new patients

Locations

2518 Richmond Ave
Houston, TX 77098
Phone (713) 522-2522

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1730443714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24217 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942976",
            "telephone_number": "281-644-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24217 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942976",
            "telephone_number": "281-644-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ABBY",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7998TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.