Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OH 5163 | OH |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OH 5163 | OH |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | OH 5163 | OH |
N | 152WP0200X | Pediatric Optomitrist | OH 5163 | OH |
N | 152WS0006X | Sports Vision | OH 5163 | OH |
N | 152WV0400X | Optomitrist - Vision Therapist | OH 5163 | OH |
N | 152WX0102X | Occupational Vision | OH 5163 | OH |
NPI | 1073519849 |
---|---|
Provider Name | Dr. Patrick Henry |
First Address | Rossford, OH 43460-1712 |
Second Address | Rossford, OH 43460-1712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 24/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00002301855 03 | UNITED HEALTH CARE (01) | OH |
0007384378 | AETNA (01) | OH |
020576130 | VISION SERVICE PLAN (01) | OH |
04343 | PARAMOUNT (01) | OH |
145799 | COLE MANAGED VISION (01) | OH |
21619 | SPECTERA (01) | OH |
2196672 | (05) | OH |
277680 | ANTHEM BC/BS (01) | OH |
360355 | NATIONAL VISION ADMINISTR (01) | OH |
44381 | DAVIS VISION (01) | OH |
622248 | STERLING LIFE INS (01) | OH |
726015 | CIGNA (01) | OH |
OH5163 | EYEMED (01) | OH |
U81596 | (02) | OH |