Noel Henry, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3970 Issued in FL

Practice address

2855 N Old Lake Wilson Road
Located Inside Walmart 5214
Kissimmee, FL 34747-1821

Phone

(407) 654-0181

Fax

(407) 877-4471

NPI assigned

Mar 28, 2007

Last updated

Feb 7, 2018By 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 8

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771
  Medicare reassignment NPD
• Dr. Noel Henry,O.D.,P.a.

  • Optometrist
  • Kissimmee, FL
  • NPI 1972622975
  NPD Authorized official
• Dr. Noel Henry,O.D.,P.a.

  • Optometrist
  • Kissimmee, FL
  • NPI 1396074696
  Authorized official Same address or phone
• Optometry Holdings, LLC

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1528302510
  NPD (past) Authorized official
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Kissimmee, FL
  • NPI 1104017094
  NPD (past)
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1508057555
  NPD (past)
• Medallion Associates, LLC

  • Optometrist
  • Orlando, FL
  • NPI 1619398880
  NPD (past)
• Ez Vision Care Optometry

  • Optometrist
  • Westminster, CA
  • NPI 1992871826
  NPD (past)
• Heights Chemist Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1003586843
  NPD (past)
• Washington Heights Optical Inc.

  • Optometric Technician
  • New York, NY
  • NPI 1477635142
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1871612408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13506 SUMMERPORT VILLAGE PKWY",
            "address_2": "SUITE 254",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867366",
            "telephone_number": "954-288-3032",
            "fax_number": "407-877-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N OLD LAKE WILSON ROAD",
            "address_2": "LOCATED INSIDE WALMART 5214",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471821",
            "telephone_number": "407-654-0181",
            "fax_number": "407-877-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION #",
            "identifier": "919009",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "K9038",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION #",
            "identifier": "51694",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621002300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATWEST #",
            "identifier": "196608",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION#",
            "identifier": "3330",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "AO2695",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA & UNITED #",
            "identifier": "27451",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harald J Henningsen, MD
• Carla Henriquez Marques, RBT
• Jessica Klein Henriquez
• Richard Henriquez
• Marcia M Henry, LPN
• Jessica Heredia, LMHC
• Jose Angel Heredia, RN NURSE
• Lizeth Alejandra Heredia, FNP-C
• Yrene Heredia
• Mark Hermano, D.D.S.

• Optometrist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.