DR. MARK HENRIKSEN (NPI# 1598235749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598235749 |
| Entity Type | Individual |
| Full Name | DR. MARK HENRIKSEN |
| Credential | OD |
| Practice Address |
53 S Main St Hanover NH 03755-2022 |
| Mailing Address |
341 Main St Norwich VT 05055-9453 |
| Practice Telephone | 6036432400 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0981 | NH | Eye and Vision Services Providers |
| Street Address |
53 S MAIN ST |
| City | HANOVER |
| State | NH |
| Zip Code | 03755-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780147033 | Gallagher Eye Care Associates, Pllc | Optometrist | 53 S Main St, Hanover, NH 03755-2022 | 2019-04-12 |
| 1538357520 | Robo Inc. | Eyewear Supplier (Equipment, not the service) | 53 S Main St, Hanover, NH 03755-2022 | 2007-10-04 |
| 1124146105 | Bruce L. Levine | Psychologist | 53 S Main St, Suite 302, Hanover, NH 03755-2022 | 2007-03-27 |
| 1063549244 | Pamela Joan Kneisel | Psychologist | 53 S Main St, Hanover, VT 05075 | 2007-02-27 |
| 1801959333 | Christine Carney Demment | Psychologist | 53 S Main St, Hanover, NH 03755-2022 | 2006-12-18 |
| 1942378120 | Meese Eye Care, Pllc | Optometrist | 53 S Main St, Hanover, NH 03755-2022 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950636 | Yuriko Fujioka | Specialist/Technologist | Hb 6083 Dartmouth College Alumni Gym, Hanover, NH 03755 | 2020-10-20 |
| 1538667761 | Caleb Crowell | Specialist/Technologist | Floren Varsity House Athletic Training Room 111, Dartmouth College, Hanover, NH 03755 | 2018-01-23 |
| 1386159820 | Caitlin M Colitti | Specialist/Technologist | East Wheelock St, Alumni Gymnasium Dartmouth College, Hanover, NH 03755 | 2017-12-06 |
| 1801227566 | Rachel Johnson | Registered Nurse | 1 S Bach St, Hanover, NH 03755 | 2013-12-06 |
| 1528329703 | Martin Lubin | Family Medicine | 21 Lyme Road, Hanover, NH 03755 | 2012-06-04 |
| 1528360435 | Doris Marie Faughnan | Counselor | 50 Greensboro Road, Unit #109, Hanover, NH 03755 | 2010-11-29 |
| 1952612517 | Steven J Mann | Physical Therapist | 45 Lyme Road, Suite 101, Hanover, NH 03755 | 2010-06-29 |
| 1720109143 | Nicole R Humann | Specialist/Technologist | East Wheelock, Hb 6083, Hanover, NH 03755 | 2007-04-03 |
| 1093840951 | Tracy A Purcell | Specialist/Technologist | 1 Crosby St., Davis Varsity House, Hanover, NH 03755 | 2007-02-22 |
| 1043355696 | Jeffrey C. Frechette | Specialist/Technologist | Hb 6083, Dartmouth College, Hanover, NH 03755 | 2007-02-21 |
| Find all providers in zip 03755 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245887181 | Jessica Marie Berry | Optometrist | 45 Lyme Rd Ste 201, Hanover, NH 03755-1260 | 2019-08-26 |
| 1144880519 | Colin Ross Kingston | Optometrist | 53 S Main St Ste 2, Hanover, NH 03755-2022 | 2019-06-18 |
| 1508421058 | National Vision Inc | Optometrist | 477 Eisenhower Drive, Hanover, PA 17331 | 2019-05-09 |
| 1073964359 | Hien Pham | Optometrist | 7000 Arundel Mills Cir Ste 404, Hanover, MD 21076-1293 | 2016-06-28 |
| 1841650405 | Myeyedr Optometry of Maryland, LLC | Optometrist | 7550 Teague Rd Ste 114, Hanover, MD 21076-1339 | 2016-02-25 |
| 1508231820 | Gamuzza Inc | Optometrist | 1155 Carlisle St Ste 20, Hanover, PA 17331-1200 | 2015-12-11 |
| 1306254941 | Eyefit Vision Centers | Optometrist | 7550 Teague Road, Suite 114, Hanover, MD 21076 | 2014-07-28 |
| 1033549787 | Tyno Family Eye Care, LLC | Optometrist | 1000 Carlisle St Ste 3, Hanover, PA 17331-1121 | 2013-11-16 |
| 1750645370 | Katie M Hertz | Optometrist | 1201 West Elm Avenue, Suite 4, Hanover, PA 17331-4600 | 2012-06-28 |
| 1003175944 | Molly Ann Rene Clymer | Optometrist | 250 Fame Ave Ste 225, Hanover, PA 17331-1576 | 2012-05-13 |
| Find all providers in HANOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.