Henry Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HENRY VISION CENTER LLC

Practice address

3564 Highway 138 SE
Stockbridge, GA 30281-4170

Phone

(770) 474-5617

Fax

(770) 474-6576

NPI assigned

Feb 28, 2009

Last updated

Sep 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nickson Henry, ODNPI 1043247380

Title

Ceo/Optometrist

Phone

(770) 474-5617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Jonathan Woolfson MD, PC

  • Ophthalmology Physician
  • Kennesaw, GA
  • NPI 1396066072

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nickson Henry, O.D.

  • Optometrist
  • Stockbridge, GA
  • NPI 1043247380
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1235779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1740420983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 HIGHWAY 138 SE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814170",
            "telephone_number": "770-474-5617",
            "fax_number": "770-474-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 HIGHWAY 138 SE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814170",
            "telephone_number": "770-474-5617",
            "fax_number": "770-474-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-28",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "NICKSON",
        "authorized_official_title_or_position": "CEO/OPTOMETRIST",
        "authorized_official_telephone_number": "770-474-5617",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Dialysis Center, LLC (Fresenius Medical Care Henry County)
• Henry Gastroenterology Specialists PC
• Henry Internal Medicine PC
• Henry OB/GYN Associates, PC.
• Henry Radiation Oncology Center, LLC
• Edwina Henry, MD
• Nickson Henry, O.D.
• Shane L Henry
• Henry's Home Care Services, LLC
• Kathlene Herbermann, AA

• Optometrist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.