RICHARD HENDERSON (NPI# 1669537528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669537528 |
| Entity Type | Individual |
| Full Name | RICHARD HENDERSON |
| Credential | OD |
| Practice Address |
1609 N Dixie Hwy Elizabethtown KY 42701-6473 |
| Mailing Address |
11103 West Ave Suite 6 San Antonio TX 78213-1370 |
| Practice Telephone | 2707657372 |
| Practice Fax Number | 2707373936 |
| Mailing Telephone | 2105246663 |
| Mailing Fax Number | 2105246587 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1217DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 77012177 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780877142 | Richard Taylor Henderson | Counselor | 9535 Sun Pointe Dr, Boynton Beach, FL 33437-3329 | 2007-08-20 |
| 1487872511 | Richard Leslie Henderson | Psychiatry & Neurology | 19660 Rimrock Ln, Apple Valley, CA 92307-1645 | 2007-04-23 |
| 1063589943 | Richard L. Henderson | Family Medicine | 555 E Tachevah Dr Ste 2e107, Palm Springs, CA 92262-5752 | 2006-11-29 |
| 1881019859 | Richard M. Henderson Jr. | Occupational Therapist | 5321 Beverly Park Cir, Knoxville, TN 37918 | 2014-02-27 |
| 1891896494 | Richard Henderson | Emergency Medicine | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2006-09-26 |
| 1144329962 | Richard C Henderson | Orthopaedic Surgery | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-09-21 |
| 1689685489 | Richard William Henderson | Obstetrics & Gynecology | 701 N Clayton St, Suite 510 Medical Office Building, Wilmington, DE 19805-3165 | 2006-08-10 |
| 1427002336 | Richard A Henderson | Internal Medicine | 9812 Slide Rd, Lubbock, TX 79424-5781 | 2006-05-22 |
| 1700855848 | Richard Robert Henderson | Dermatology | 1522 Vaughn Rd, Burlington, NC 27217 | 2006-03-14 |
| 1437129947 | Richard Lyle Henderson | Orthopaedic Surgery | 380 Chase Ave, Orthopedics, Walla Walla, WA 99362-2924 | 2006-01-25 |
| Street Address |
1609 N DIXIE HWY |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-6473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427131176 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 1609 N Dixie Hwy, Elizabethtown, KY 42701-6473 | 2006-10-23 |
| 1922484708 | William Jason Ward | Optometrist | 1609 N Dixie Hwy, Elizabethtown, KY 42701-6473 | 2015-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| 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 |
|---|---|---|---|---|
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1982263174 | Borders Eyecare Specialists Pllc | Optometrist | 611 W Poplar St Ste C4a, Elizabethtown, KY 42701-2464 | 2019-06-11 |
| 1891281994 | Sara Rene' Borders | Optometrist | 1609 N Dixie Ave, Elizabethtown, KY 42701-6473 | 2018-07-02 |
| 1467948588 | Britt Austin Borders | Optometrist | 1609 N Dixie Ave Ste 100, Elizabethtown, KY 42701-7494 | 2018-07-02 |
| 1053793281 | Christian Scott Zechman | Optometrist | 282 Maytown Rd Ste 100, Elizabethtown, PA 17022-9302 | 2015-06-24 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| 1598976581 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 1676 S Market St, Elizabethtown, PA 17022-2853 | 2007-05-24 |
| 1336299684 | Bladen Eye Center, O.d., P.a. | Optometrist | 409 East Broad Street, Elizabethtown, NC 28337-2589 | 2007-01-11 |
| 1114076288 | Teresa Ann Wise | Optometrist | 2904 Dolphin Dr, Elizabethtown, KY 42701-7102 | 2007-01-09 |
| 1194818971 | Rebman Eyecare, P.C. | Optometrist | 282 Maytown Rd, Ste 100, Elizabethtown, PA 17022-9313 | 2006-10-02 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.