Allison A Henderson, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

6042/T2957 Issued in OH

Practice address

612 Central Ctr
Chillicothe, OH 45601

Phone

(740) 774-2106

Fax

(740) 774-2107

NPI assigned

Jul 19, 2011

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Southern College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Allison a Henderson OD and William E Henderson II

  • Optometrist
  • Chillicothe, OH
  • NPI 1699838318
  Medicare reassignment Authorized official
• Gunning Ames PTRS

  • Optometrist
  • Waverly, OH
  • NPI 1295860559
  NPD

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1922396381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CENTRAL CTR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012248",
            "telephone_number": "740-774-2106",
            "fax_number": "740-774-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CENTRAL CTR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-774-2106",
            "fax_number": "740-774-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ALLISON",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OH",
            "license": "6042/T2957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MEDICARE",
            "identifier": "H018779",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Hembree, RN
• Amy Nettie Hendershot, PHARMD
• Patricia Lynne Hendershot, RN
• Henderson Pharmacy Services, Inc.
• Henderson Pharmacy Services, Inc.
• Jill M Henderson, LD, RD
• Ronald William Henderson, RPH
• Kelly Ann Hendricks
• Christopher Douglas Hendrix
• Megan Nicole Henry, RT(R)(CT)

• Vision Therapy Optometrist in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Vision Therapy Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.
• 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.