Individual
DR. PATRICK HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9640 OLDE US 20, ROSSFORD, OH 43460-1712
(419) 874-4045
(419) 874-4061
Mailing address
9640 OLDE US 20, ROSSFORD, OH 43460-1712
(419) 874-4045
(419) 874-4061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH 5163
OH
152WC0802X
Corneal and Contact Management Optometrist
OH 5163
OH
152WL0500X
Low Vision Rehabilitation Optometrist
OH 5163
OH
152WP0200X
Pediatric Optometrist
OH 5163
OH
152WS0006X
Sports Vision Optometrist
OH 5163
OH
152WV0400X
Vision Therapy Optometrist
OH 5163
OH
152WX0102X
Occupational Vision Optometrist
OH 5163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002301855 03
UNITED HEALTH CARE
OH
01
—
0007384378
AETNA
OH
01
—
020576130
VISION SERVICE PLAN
OH
01
—
04343
PARAMOUNT
OH
01
—
145799
COLE MANAGED VISION
OH
01
—
21619
SPECTERA
OH
05
—
2196672
—
OH
01
—
277680
ANTHEM BC/BS
OH
01
—
360355
NATIONAL VISION ADMINISTR
OH
01
—
44381
DAVIS VISION
OH
01
—
622248
STERLING LIFE INS
OH
01
—
726015
CIGNA
OH
01
—
OH5163
EYEMED
OH
Enumeration date
06/24/2005
Last updated
05/24/2016
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