Charlene Keating Henderson, OD | |
16721 Orchard Stone Run, Charlotte, NC 28277-3823 | |
(704) 817-3800 | |
Not Available |
Full Name | Charlene Keating Henderson |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 28 Years |
Location | 16721 Orchard Stone Run, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083866610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1732 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blink Eye Care And Eye Wear Od Pa | 4587703582 | 3 |
Provider Name | Blink Eye Care And Eye Wear Od Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356675532 PECOS PAC ID: 4587703582 Enrollment ID: O20091204000261 |
Mailing Address | Practice Location Address |
---|---|
Charlene Keating Henderson, OD 16721 Orchard Stone Run, Charlotte, NC 28277-3823 Ph: (704) 817-3800 | Charlene Keating Henderson, OD 16721 Orchard Stone Run, Charlotte, NC 28277-3823 Ph: (704) 817-3800 |
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