Paul A. Henriksen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1922 Issued in MN

Practice address

212 W. Main St.
Pipestone, MN 56164-1634

Phone

(507) 825-5444

NPI assigned

Aug 25, 2005

Reactivated

Mar 31, 2006

Last updated

Jan 22, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Illinois College of Optometry at Chicago, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Paul a. Henriksen

  • Durable Medical Equipment & Medical Supplies
  • Pipestone, MN
  • NPI 1225214158

  Optometrist

  NPD Authorized official
• Ophthalmology LTD

  • Ophthalmology Physician
  • Watertown, SD
  • NPI 1124750294
  NPD (past)
• Ophthalmology LTD

  • Ophthalmology Physician
  • Sioux Falls, SD
  • NPI 1871589531
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1821081738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561640686",
            "telephone_number": "507-825-5444",
            "fax_number": "507-825-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W. MAIN ST.",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641634",
            "telephone_number": "507-825-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIKSEN",
        "first_name": "PAUL",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896523400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Gates
• Nicole Lamore Grandsberry
• Morgan Guardado
• Sarah Hacker, BS
• Danica Marie Hegstad
• Hiawatha Manor, Inc.
• Cassandra Ann Hoefs, RN, BSN, PHN
• Hubers, Inc. (Comfort Keepers)
• Inspire Counseling Services LTD
• Adrianna Johnson

• Optometrist in Pipestone, MN
• Providers in Pipestone, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.