Organization Active NPI

Thomas Henderson Management LLC

  • Eyewear Supplier
  • Austin, TX
National Provider Identifier
1942397237
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
THOMAS HENDERSON MANAGEMENT LLC
Practice address
3410 Far West Boulevard
Suite 140
Austin, TX 78731-3167
Phone
(512) 427-1100
Fax
(512) 427-1208
NPI assigned
Oct 6, 2006
Organization subpart
Yes
Parent organization
THOMAS HENDERSON MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Dr. Thomas T Henderson, M.D.
Title
President/ C.E.O.
Phone
(512) 427-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3410 Far West Boulevard
Suite 140
Austin, TX 78731-3167

Mailing address

3410 Far West Boulevard
Suite 140
Austin, TX 78731-3167
Phone (512) 427-1100

Other identifiers 1

IdentifierTypeStateIssuer
612710001OtherTXNATIONAL SUPPLIER CLEARIN

Other names 1

  • Eye Clinic Optical Doing business as

National Provider Directory

National Provider Directory
Part of
Thomas Henderson MD

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1942397237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BOULEVARD",
            "address_2": "SUITE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313167",
            "telephone_number": "512-427-1100",
            "fax_number": "512-427-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BOULEVARD",
            "address_2": "SUITE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313167",
            "telephone_number": "512-427-1100",
            "fax_number": "512-427-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS HENDERSON MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS HENDERSON MD PA",
        "enumeration_date": "2006-10-06",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/ C.E.O.",
        "authorized_official_telephone_number": "512-427-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL SUPPLIER CLEARIN",
            "identifier": "612710001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Clinic Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.