Amy Lewis Hennessy, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17007 Issued in NH

Practice address

250 River Rd
Manchester, NH 03104-2423

Phone

(603) 668-2020

Fax

(603) 668-0881

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Medical Eye Center PCGroup PAC ID 7315916095, 15 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• The Medical Eye Center, P.C.

  • Ophthalmology Physician
  • Manchester, NH
  • NPI 1225004955
  Medicare reassignment Care Compare group NPD
• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935
  Medicare reassignment NPD
• The Medical Eye Center, P.C.

  • Optometrist
  • Manchester, NH
  • NPI 1720230378
  NPD
• The Glaucoma Center, P.C.

  • Ophthalmology Physician
  • Bowie, MD
  • NPI 1437214954
  NPD (past)
• The Glaucoma Center, P.C.

  • Ophthalmology Physician
  • Annapolis, MD
  • NPI 1508921792
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780892836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042423",
            "telephone_number": "603-668-2020",
            "fax_number": "603-668-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042423",
            "telephone_number": "603-668-2020",
            "fax_number": "603-668-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Riverway Pl",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106765",
            "country_code": "US",
            "telephone_number": "603-668-3772",
            "fax_number": "603-668-1961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "AMY",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NH",
            "license": "17007",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "17007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "93408502",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "123130",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019616900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DH0987",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry F. Henault, LICSW
• James Anthony Henderson
• McKena Lee Hendriks, BS
• Robin Ann Heneghan, BA
• Jessica Hennessey, BA
• Jessica Hennigan, RBT
• Melissa Joyce Henrick, LICSW
• James Henry
• Lynne Hentz
• Stephan Heo, M.D.

• Ophthalmology Physician in Manchester, NH
• Providers in Manchester, NH by specialty
• Ophthalmology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.