Sharon F Henderson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

CT002456 Issued in CT

Practice address

380 W Main St
Lenscrafters
Avon, CT 06001-3690

Phone

(860) 409-4565

Fax

(860) 409-4566

NPI assigned

Oct 6, 2006

Last updated

Aug 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CT

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

New England College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Envision 2020 Eyecare, LLCGroup PAC ID 8527493030, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Envision 2020 Eyecare, LLC

  • Optometrist
  • Avon, CT
  • NPI 1801445028
  Medicare reassignment Care Compare group NPD Authorized official
• Oculus, LLC

  • Optometrist
  • Avon, CT
  • NPI 1003940743
  Authorized official Same address or phone
• Oculus, LLC

  • Optometrist
  • Middletown, CT
  • NPI 1578696027
  Authorized official Same address or phone

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1780771337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W MAIN ST",
            "address_2": "LENSCRAFTERS",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013690",
            "telephone_number": "860-409-4565",
            "fax_number": "860-409-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W MAIN ST",
            "address_2": "LENSCRAFTERS",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013690",
            "telephone_number": "860-409-4565",
            "fax_number": "860-409-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SHARON",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT002456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PIN",
            "identifier": "061623189",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "090002456CT13",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PIN",
            "identifier": "OV9631",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE PIN",
            "identifier": "566721-6484",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "061623189",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Hazen, LPTA
• Health Plusone Corporation (Home Helpers Central Connecticut)
• Christine Hedberg
• Helena E Gagnon
• Help at Home, Inc.
• Virginia Lee Hennessey, RPH
• Stephen G Henry, PSY.D.
• Patricia Warren Hensley, MSW
• Arianna Heonis
• Hannah Hillier

• Optometrist in Avon, CT
• Providers in Avon, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.