# OPTOMETRY HOLDINGS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528302510
- **Authorized official:** DR. NOEL ANDREW HENRY OD (PRESIDENT)
- **Authorized official phone:** (954) 288-3032

## Contact information

- **Practice address:** 5200 N FEDERAL HWY, STUITE 4, FT LAUDERDALE, FL 33308-3253
- **Practice address phone:** (954) 491-6663
- **Practice address fax:** (954) 491-6667
- **Mailing address:** 13506 SUMMERPORT VILLAGE PKWY, \#254, WINDERMERE, FL 34786-7366
- **Mailing address phone:** (954) 288-3032
- **Mailing address fax:** (954) 491-6697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3970 | FL | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | U65034 | MEDICARE PTAN | FL |