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HENDERSON EYE CENTERLLC NPI 1386793545


NPI Information

NPI: 1386793545
Provider Name: HENDERSON EYE CENTER,LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 22D2117190

Address:
299 CAREW ST
SUITE 400
SPRINGFIELD, MA
ZIP 01104
Phone: (413) 733-1818
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HENDERSON EYE CENTER,LLC is an ophthalmology in Springfield, MA. 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. HENDERSON EYE CENTER,LLC NPI is 1386793545. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

299 CAREW ST
SUITE 400
SPRINGFIELD, MA
ZIP 01104-301
Phone: (413) 733-1818
Fax: (413) 732-2341

The provider's authorized official is Pamela Renee Henderson .
The authorized official title is Owner and has the following contact phone number (413) 733-1818.

The CLIA number assigned to this NPI record is 22D2117190 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/22/2020.


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
1207W00000XOphthalmology215993MASSACHUSETTSYes

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
19720120MEDICAIDMASSACHUSETTS

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: 11/14/2023

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