Individual provider Active NPI

Larry Randall Henry, O.D.

  • Optometrist
  • Edmond, OK
National Provider Identifier
1932102894
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2040 Issued in OK
Practice address
14701 N Santa Fe Ave
Edmond, OK 73013-3411
Phone
(405) 752-2733
Fax
(405) 752-2172
NPI assigned
May 24, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2040 OK Primary

Addresses

Primary practice location

14701 N Santa Fe Ave
Edmond, OK 73013-3411

Mailing address

14701 N Santa Fe Ave
Edmond, OK 73013-3411
Phone (405) 752-2733

Other identifiers 3

IdentifierTypeStateIssuer
4628540OtherOKAETNA
100765720AMedicaidOK
1677321OtherOKUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20100817000249 OK Practitioner - Optometry 9537293287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Britton Vision Associates IncGroup PAC ID 4688659519, 12 clinicians

Practice addresses (Care Compare)

14701 N Santa Fe Ave
Edmond, OK 73013-3411
Phone (405) 752-2733

1710 W 3Rd St
Suite 100
Elk City, OK 73644-5160
Phone (580) 225-1555

3200 Medical Park Dr
Shawnee, OK 74804-5014
Phone (405) 395-5736

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Britton Vision Associates Inc CurrentSince May 1, 1999 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

14701 N Santa Fe Ave
Edmond, OK 73013
Phone (405) 752-2733

14701 N Santa Fe Ave
#8206
Edmond, OK 73013
Phone (405) 752-2733

1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

1501 Airport Dr
Shawnee, OK 74804
Phone (405) 273-5801

1703 Professional Cir
Yukon, OK 73099
Phone (405) 250-1426

Interoperability endpoints

  • Direct secure messaging: lhenry@bva.intellechartdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1932102894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 N SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133411",
            "telephone_number": "405-752-2733",
            "fax_number": "405-752-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 N SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133411",
            "telephone_number": "405-752-2733",
            "fax_number": "405-752-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LARRY",
        "middle_name": "RANDALL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4628540",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100765720A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1677321",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.