C Allan Henry MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101033212 Issued in VA

Legal business name

C ALLAN HENRY MD PC

Practice address

1881 E Little Creek Rd
Norfolk, VA 23518-4222

Phone

(757) 480-0111

Fax

(757) 480-1626

NPI assigned

Jun 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Conrad Allan Henry, MD

Title

President

Phone

(757) 480-0111

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1730490707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 E LITTLE CREEK RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184222",
            "telephone_number": "757-480-0111",
            "fax_number": "757-480-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 E LITTLE CREEK RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184222",
            "telephone_number": "757-480-0111",
            "fax_number": "757-480-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C ALLAN HENRY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-480-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101033212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66399827",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180000672",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "322145",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Lee Byrd, FNP
• Teywonia Lashall Byrd, CRNA
• Heather McKay Byrne, DPT
• Kimberly Lurie Byrne, CCC-SLP
• C & a Care Transport LLC
• C.a.R.E LLC
• C&E Adult Services Inc.
• C&R Support Inc
• Ma Francesca Erika Cabais
• Jennifer Cabe, LPC, NCC

• Ophthalmology Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.