SHELBY HENDERSON (NPI# 1861019283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861019283 |
| Entity Type | Individual |
| Full Name | SHELBY HENDERSON |
| Credential | OD |
| Practice Address |
4051 Nicholasville Rd Lexington KY 40503-4433 |
| Practice Telephone | 8592721422 |
| Practice Fax Number | 8592734582 |
| Mailing Telephone | 8592721422 |
| Mailing Fax Number | 8592734582 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2177DT | KY | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1024 N Main St, Nicholasville, KY 403562311 | 8598815444 | 8598813180 |
| 500 W New Circle Rd, Lexington, KY 405111833 | 8592254657 | 8592258366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072163 | Shelby Henderson | Counselor | 722 S Lincoln Ave Ste 1, York, NE 68467-4242 | 2020-08-07 |
| Street Address |
4051 NICHOLASVILLE RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306891361 | Kari Carpenter Mattson I | Optometrist | 4051 Nicholasville Rd, Lexington, KY 40503-4432 | 2006-05-24 |
| 1558961201 | Lauren Willis | Pharmacist | 4051 Nicholasville Rd, Lexington, KY 40503-4433 | 2020-10-30 |
| 1922608652 | Nancy Celeste Mcrae | Pharmacist | 4051 Nicholasville Rd, Lexington, KY 40503-4433 | 2020-10-30 |
| 1578163606 | Robin Applegate | Pharmacist | 4051 Nicholasville Rd, Lexington, KY 40503-4433 | 2020-10-28 |
| 1396345765 | Nicholas B Fraley | Pharmacist | 4051 Nicholasville Rd, Lexington, KY 40503-4433 | 2020-10-27 |
| 1730554569 | Aubree Joanne Robinson | Pharmacist | 4051 Nicholasville Rd, Lexington, KY 40503-4433 | 2015-12-04 |
| 1982854717 | Allyson Nicole Lane Rhodes | Optometrist | 4051 Nicholasville Rd, Lexington, KY 40503 | 2008-09-29 |
| 1770781916 | Makisha S Maggard | Optometrist | 4051 Nicholasville Rd, Lexington, KY 40503-4433 | 2007-07-10 |
| 1144362559 | Eye Max Pllc | Optometrist | 4051 Nicholasville Rd, Lexington, KY 40503 | 2007-02-13 |
| 1265518419 | Wal-mart Stores East, Lp | Technician/Technologist | 4051 Nicholasville Rd, Lexington, KY 40503-4433 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| 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 |
|---|---|---|---|---|
| 1306443163 | Eyemax2020 | Optometrist | 3070 Harrodsburg Rd Ste 130, Lexington, KY 40503-2764 | 2020-10-05 |
| 1639780224 | Family First Vision Care Kentucky | Optometrist | 3801 Mall Rd Ste 115, Lexington, KY 40503-4492 | 2020-08-17 |
| 1568080828 | Maivys Hernandez Longa | Optometrist | 715 Shaker Dr Ste 120, Lexington, KY 40504-3674 | 2020-07-13 |
| 1730663071 | Lina Savickas | Optometrist | 2250 Leestown Rd Bldg 1, Lexington, KY 40511-1052 | 2018-09-22 |
| 1710400247 | Hai An Bui | Optometrist | 3695 Nicholasville Rd Ste 150, Lexington, KY 40503-4493 | 2017-07-17 |
| 1760903520 | Taylor Bowman | Optometrist | 2500 Leestown Road, Lexington, KY 40511 | 2017-07-03 |
| 1346776036 | Sansbury Vision Services LLC | Optometrist | 205 Columbia Ave Ste C, Lexington, SC 29072-2662 | 2017-05-02 |
| 1316304405 | J Galt Eyewear LLC | Optometrist | 535 Wellington Way Ste 160, Lexington, KY 40503-1387 | 2016-01-21 |
| 1003224809 | Bilal Ahmad | Optometrist | 4140 Briar Hill Rd, Lexington, KY 40516-9719 | 2014-07-24 |
| 1023429826 | Amy Catherine Thomas | Optometrist | 157 Jefferson St Apt 201, Lexington, KY 40508-1758 | 2014-05-14 |
| Find all providers in LEXINGTON | ||||
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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.