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GREGORY L HENDERSON MD FACS INC NPI 1306839725


NPI Information

NPI: 1306839725
Provider Name: GREGORY L HENDERSON MD FACS INC

Doing Business As: FLORIDA EYE SPECIALISTS AND CATARACT INSTITUTE

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
403 VONDERBURG DR
BRANDON, FL
ZIP 33511
Phone: (813) 681-1122
Get Directions

GREGORY L HENDERSON MD FACS INC is an ophthalmology in Brandon, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. GREGORY L HENDERSON MD FACS INC NPI is 1306839725. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Florida Eye Specialists And Cataract Institute.

The provider's business location address is:

403 VONDERBURG DR
BRANDON, FL
ZIP 33511-982
Phone: (813) 681-1122
Fax: (813) 684-4924

The provider's authorized official is Gregory L Henderson .
The authorized official title is President and has the following contact phone number (813) 681-1122.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1060983800MEDICAIDFLORIDA
25019195OTHERFLORIDAAETNA
30609838-00MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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