TIMOTHY JAMES HENNIE (NPI# 1972561306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972561306 |
| Entity Type | Individual |
| Full Name | TIMOTHY JAMES HENNIE |
| Credential | O.D. |
| Practice Address |
1910 Jake Alexander Blvd W Suite 101 Salisbury NC 28147-1163 |
| Mailing Address |
1910 Jake Alexander Blvd W Suite 101 Salisbury NC 28147-1162 |
| Practice Telephone | 7046332581 |
| Practice Fax Number | 7046332592 |
| Mailing Telephone | 7046332581 |
| Mailing Fax Number | 7046332592 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1071 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | OPTICARE | 10799 | 01 |
| NC | PRIMARY PHYSICIAN CARE | 561430045 | 01 |
| NC | 8909387 | 05 | |
| NC | VISION BENEFITS OF AMERIC | NC01071 | 01 |
| NC | UNITED HEALTHCARE | 2200141 | 01 |
| NC | PARTNERS | 561430045 | 01 |
| NC | BLUE CROSS BLUE SHIELD | 09387 | 01 |
| NC | SPECTERA | 48550 | 01 |
| NC | EYEMED | 110899 | 01 |
| NC | DAVIS VISION PLAN | 51812 | 01 |
| NC | SUPERIOR VISION PLAN | 561430045 | 01 |
| Street Address |
1910 JAKE ALEXANDER BLVD W SUITE 101 |
| City | SALISBURY |
| State | NC |
| Zip Code | 28147-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679540512 | Mecklenburg Home Health, Inc. | Home Health | 1910 Jake Alexander Blvd W, Suite 102-103, Salisbury, NC 28147-1162 | 2006-02-28 |
| 1093998262 | Primary Health Concepts, Inc. | Home Health | 1910 Jake Alexander Blvd W, Suite 102-103, Salisbury, NC 28147-1162 | 2007-12-11 |
| 1992988166 | Primary Health Concepts, Inc. | Nursing Care | 1910 Jake Alexander Blvd W, Suite 102-103, Salisbury, NC 28147-1162 | 2007-12-11 |
| 1326249079 | Lisa A Lennox | Physical Therapist | 1910 Jake Alexander Blvd W, Salisbury, NC 28147-1162 | 2007-05-30 |
| 1265409932 | Primary Health Concepts, Inc. | Nursing Care | 1910 Jake Alexander Blvd W, Suite 102-103, Salisbury, NC 28147-1162 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700397908 | The Young Men's Christian Association of Rowan County, N.c., Inc. | Health Educator | 828 Jake Alexander Blvd., West, Salisbury, NC 28147 | 2017-10-16 |
| 1417490202 | Angels At Heart Assisted Living | PACE Provider Organization | 140 Kent Road, Salisbury, NC 28147 | 2016-11-28 |
| 1780047316 | Lugina Dumas | Counselor | 1100 Litaker Farm Road, Salisbury, NC 28147 | 2016-03-31 |
| 1689054777 | Travis Howell | Occupational Therapist | 548 White Oak Drive, Apt 310, Salisbury, NC 28147 | 2015-06-03 |
| 1790115384 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1361 Klumac Road, Salisbury, NC 28147 | 2013-11-18 |
| 1336499409 | Ashley Elizabeth Jones | Speech-Language Pathologist | 701julian Road, Salisbury, NC 28147 | 2012-09-14 |
| 1730489360 | Shepherd's Home Care | Home Health | 1953 W Jake Alexander Blvd, 2, Salisbury, NC 28147 | 2010-10-29 |
| 1346369006 | Denise Murphy | Occupational Therapist | 548 White Oaks Dr, Salisbury, NC 28147 | 2007-03-27 |
| 1205992203 | Robert N Whitaker Jr Md Pa | Otolaryngology | 330 Jake Alexander Blvd West Suite 101, Salisbury, NC 28147 | 2006-12-28 |
| 1720174162 | Michael Steven Binder | Chiropractor | 2124 Statesville Blvd, Salisbury, NC 28147 | 2006-10-05 |
| Find all providers in zip 28147 | ||||
| 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 |
|---|---|---|---|---|
| 1760094601 | Myeyedr Optometry of North Carolina Pllc | Optometrist | 1910 Jake Alexander Blvd W Ste 101, Salisbury, NC 28147-1163 | 2020-08-21 |
| 1326397555 | Eleanor Siri | Optometrist | 2657 N Salisbury Blvd Ste 104, Salisbury, MD 21801-2184 | 2012-09-04 |
| 1982836235 | Melanie Jade Denton | Optometrist | 2925 W Innes St, Salisbury, NC 28144-0764 | 2009-08-20 |
| 1306027677 | Low Vision Specialist, Inc. | Optometrist | 1496 Still Meadow Blvd Ste G, Salisbury, MD 21804-7512 | 2007-11-15 |
| 1104049105 | Salisbury Optical | Optometrist | 800 S Salisbury Blvd Ste K, Salisbury, MD 21801-6208 | 2007-04-10 |
| 1982757332 | Debbie A. Steele-moore | Optometrist | 209b Milford St, Salisbury, MD 21804-6932 | 2007-01-19 |
| 1437213451 | Kenneth Alan Bortnick | Optometrist | 800 K South Salisbury Blvd., Salisbury, MD 21801 | 2006-12-21 |
| 1588725733 | Kevin Warren Darcey | Optometrist | 101 Milford St, Salisbury, MD 21804-6952 | 2006-12-12 |
| 1598831075 | Joseph Clark Hollaway | Optometrist | 2300 N Salisbury Blvd, Ste #k119, Salisbury, MD 21801-7810 | 2006-11-28 |
| 1366548398 | Jesse Michael Lael Catron | Optometrist | 409 N Fruitland Blvd, Salisbury, MD 21801-7201 | 2006-09-16 |
| Find all providers in SALISBURY | ||||
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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.