GREGORY L HENDERSON MD FACS INC


Address: 135 W Robertson St, Brandon, FL 33511-5111
Phone: 8136850001

GREGORY L HENDERSON MD FACS INC (NPI# 1144214552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144214552
Entity Type Organization
Organization Name GREGORY L HENDERSON MD FACS INC
Other Organization Name FLORIDA EYE SPECIALISTS AND CATARACT INSTITUTE
Practice Address 135 W Robertson St
Brandon
FL 33511-5111
Mailing Address 403 Vonderburg Dr
Brandon
FL 33511-5982
Practice Telephone 8136850001
Practice Fax Number 8136850008
Mailing Telephone (813) 681-1122
Mailing Fax Number 8136844924
Enumeration Date 2005-08-31
Last Update Date 2017-09-11
Authorized Official Name MR. GREGORY L HENDERSON SR. (PRESIDENT)
Authorized Official Telephone 8136811122
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name GREGORY L HENDERSON MD FACS INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 0609838-03 05
FL 060983803 05

Other Provider/Organization Names

Other Name Type Code
Florida Eye Specialists and Cataract Institute Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821082249 Gregory L Henderson Md Facs Inc Optometrist 1701 Rickenbacker Dr., Ste 102, Sun City Center, FL 33573-5361 2005-08-31
1306839725 Gregory L Henderson Md Facs Inc Optometrist 403 Vonderburg Dr, Brandon, FL 33511-5982 2005-08-31
1306830799 Gregory L Henderson Md Facs Inc Ophthalmology 612 N Tamiami Trl, Ruskin, FL 33570-3769 2005-08-31

Office Location

Street Address 135 W ROBERTSON ST
City BRANDON
State FL
Zip Code 33511-5111

Providers in the same zip code

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1487208922 Heart and Vascular Center of Brandon, Pllc Internal Medicine 511 Medical Oaks Ave., Brandon, FL 33511 2019-08-01
1841842895 Rebecca Harrelson Counselor 915 Oakfield Drive, Suite E, Brandon, FL 33511 2019-07-10
1043779713 Cheryl Diane Hart Nurse Practitioner 888 S Parsons Ave., Brandon, FL 33511 2019-03-13
1306303177 Paula J Buchwald Nurse Practitioner 888 S. Parsons Ave, Brandon, FL 33511 2019-02-27
1063993996 Ashlee Marie Shevchenko Speech-Language Pathologist 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 2018-08-28
1275023012 Ava Cares, LLC Assisted Living Facility 3005 Bell Shoals Rd., Brandon, FL 33511 2018-05-17
1346738705 Tampa Psychology Group Psychologist 1463 Oakfield Dr Ste 109, Brandon, FL 33511 2018-05-01
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326282013 Jose Perez Gonzalez De Apodaca Ophthalmology 206 Buckingham Pl Ste 102, Brandon, FL 33511-4910 2009-04-24
1477745552 Advanced Care Eye Center Limited Liability Company Ophthalmology 325 S Parsons Ave, Brandon, FL 33511-5228 2007-08-13
1346328622 Byron Edward Holley Ophthalmology 1011 Cherwood Ln, Brandon, FL 33511-6334 2006-11-02
1821020470 Jacqueline Jordan Scott Ophthalmology 1463 Oakfield Dr, Suite 113, Brandon, FL 33511 2006-07-06
1316931066 Richard W. Pharr M.d.pa Ophthalmology 1490 West Government Street Suite 8, Richard W Pharr M.d. Pa, Brandon, MS 39042 2005-09-08
1861499097 Laurie J Anglin Ophthalmology 403 Vonderburg Dr, Ste 101, Brandon, FL 33511-5982 2005-07-01
1699771873 Lawrence Carol Taylor Jr. Ophthalmology 540 Medical Oaks Ave, Suite 103, Brandon, FL 33511-5995 2005-06-22
1912902487 Neal A Honickman Ophthalmology 540 Medical Oaks Ave Ste 103, Brandon, FL 33511-5995 2005-06-20
1770826745 Frances Jacinto Acosta Ophthalmology 206 Buckingham Pl Ste 102, Brandon, FL 33511-4910 2013-03-28
1770859092 George H Fisher II Ophthalmology 540 Medical Oaks Ave Ste 103, Brandon, FL 33511-5995 2012-03-30
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Competitor

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City BRANDON
Zip Code 33511

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Dataset Information

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.

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