Robert L Henderlite

Primary specialty

OcularistTaxonomy code 156FX1700X

Practice address

8426 Medical Plaza Dr
Suite 500
Charlotte, NC 28262-9746

Phone

(704) 510-9292

Fax

(704) 510-9881

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Southeastern Ocularists, Inc.

  • Customized Equipment (DME)
  • Charlotte, NC
  • NPI 1033396551

  Ocularist

  NPD Authorized official
• Southeastern Ocularists, Inc.

  • Customized Equipment (DME)
  • Mt Pleasant, SC
  • NPI 1841213196
  NPD Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1881619633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8426 MEDICAL PLAZA DR",
            "address_2": "SUITE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629746",
            "telephone_number": "704-510-9292",
            "fax_number": "704-510-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8426 MEDICAL PLAZA DR",
            "address_2": "SUITE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629746",
            "telephone_number": "704-510-9292",
            "fax_number": "704-510-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERLITE",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2724",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM0376",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lashica Nicole Hemingway, LPC
• Bianca T Hemphill, MA, LPA
• Kelly Hemphill, OTR
• Angela Henard
• Patricia Boone Henderlite
• Jon Paul Hendershot, PA-C
• Carolyn J Henderson, NCC, LPCA
• Cathy Henderson, Q.P., B.A.
• Charlene Keating Henderson, O.D.
• Corey Henderson, LPC, NCC

• Technician/Technologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Technician/Technologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.