Timothy Lawrence Hennings

Primary specialty

OpticianTaxonomy code 156FX1800X

License

SLD5989 Issued in CA

Practice address

80 Huntington St SPC 313
Huntington Beach, CA 92648-5344

Phone

(714) 766-9799

NPI assigned

Oct 9, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1730721986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HUNTINGTON ST SPC 313",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485344",
            "telephone_number": "714-766-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUNTINGTON ST SPC 313",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485344",
            "telephone_number": "714-766-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGS",
        "first_name": "TIMOTHY",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "SLD5989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Grace Hemsley
• Julia Marie Heng, MD
• Jennifer Hennessey, OTR/L
• Irene May Hennessy, M.A.CCC-SLP
• Brandy Noel Henning, MFT MA
• Joni Louise Henry
• Kassandra Babette Henry
• Sydney Hensler
• Her Guardian Angel
• Taylor Paige Herbel, SLP

• Optician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.