Organization
HENDERSON EYE CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA RENEE HENDERSON M.D. (OWNER)
(413) 733-1818
Entity
Organization
Contact information
Practice address
299 CAREW ST, SUITE 400, SPRINGFIELD, MA 01104-2301
(413) 733-1818
(413) 732-2341
Mailing address
299 CAREW ST, SUITE 400, SPRINGFIELD, MA 01104-2301
(413) 733-1818
(413) 732-2341
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
215993
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9720120
—
MA
Enumeration date
01/09/2007
Last updated
08/22/2020
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