Henry B Samson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

769 Issued in CT

Practice address

100 York St
Suite 2K
New Haven, CT 06511-5664

Phone

(203) 624-3896

Fax

(203) 777-2020

NPI assigned

Aug 4, 2006

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 6

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1831107994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YORK ST",
            "address_2": "SUITE 2K",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115664",
            "telephone_number": "203-624-3896",
            "fax_number": "203-777-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YORK ST",
            "address_2": "SUITE 2K",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115664",
            "telephone_number": "203-624-3896",
            "fax_number": "203-777-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "HENRY",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "22-04198",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OVO398",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004024253",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "006518",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4143570-002",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/ BLUE SHIELD",
            "identifier": "090000769CT03",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muneeb Samma, MD
• Joanna Samoskevich
• Ramya Sampath, MD
• Cristal Analisa Sampson, PMHNP-BC
• Marc D Samsky, M.D.
• Leah Samson, MD
• Lydia Anne Samson, BSN, RN
• Emily Elizabeth Samuel, LPC
• John C Samuel, MD
• Shayla Samuel

• Optometrist in New Haven, CT
• Providers in New Haven, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.