Individual provider Active NPI

Scott J Henry, OD

  • Optometrist
  • Ashland, KY
National Provider Identifier
1982664116
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2091DT Issued in KY
Practice address
500 Winchester Ave Unit 810
Ashland, KY 41101-7362
Phone
(606) 324-3672
NPI assigned
Mar 23, 2006
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10241269-9934 UT
Optometrist 152W00000X 0936-IOD WV
Optometrist 152W00000X OPT.006517 OH
Optometrist 152W00000X 2091DT KY Primary

Addresses

Primary practice location

500 Winchester Ave Unit 810
Ashland, KY 41101-7362

Mailing address

132 Willowood Cir
Hurricane, WV 25526-9272
Phone (304) 546-1223

Other practice location 1

5187 US Route 60 Ste 6
Huntington, WV 25705-2076
Phone (304) 691-8800

Other identifiers 1

IdentifierTypeStateIssuer
0149908000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scott.henry@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041103001217 WV Practitioner - Optometry 4082676747 Reassigns benefits to 2 organizations
I20200310000488 KY Practitioner - Optometry 4082676747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

3246 US Route 60
Suite 6
Huntington, WV 25705-2076
Phone (304) 691-8800

500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2091DTKYMDOptometrist
OPT.006517OHMDOptometrist
10241269-9934UTMDOptometrist
0936-IODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Jul 31, 2023 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Jan 8, 2020 Accepting new patients
University Physicians & Surgeons, Inc CurrentSince Jul 31, 2023 Accepting new patients
University Physicians & Surgeons, Inc. Optometrist Past Accepting new patients
St. Mary's Himg, LLC Past Accepting new patients
Charleston Eye Care, PLLC PastSince Oct 1, 2004 Accepting new patients
Dr Stephen L. Gaal & Associates Optometrist PastSince Feb 1, 1996 Accepting new patients

Locations

7815 Preston Hwy
Louisville, KY 40219
Phone (502) 966-2020

1600 Medical Center Dr
#B51
Huntington, WV 25701
Phone (304) 691-8850

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1616 13th Ave
#2B
Huntington, WV 25701
Phone (304) 697-0393

3246 US Route 60
Ste 6
Huntington, WV 25705
Phone (304) 691-8800

Interoperability endpoints

  • Direct secure messaging: scott.henry@marshall.cernerdirect.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1982664116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WILLOWOOD CIR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269272",
            "telephone_number": "304-546-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WINCHESTER AVE UNIT 810",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017362",
            "telephone_number": "606-324-3672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5187 US Route 60 Ste 6",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257052076",
            "country_code": "US",
            "telephone_number": "304-691-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SCOTT",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "10241269-9934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "0936-IOD",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006517",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2091DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149908000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.henry@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "5187 US Route 60 Ste 6",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257052076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.