Individual
DR. NOEL HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2855 N OLD LAKE WILSON ROAD, LOCATED INSIDE WALMART 5214, KISSIMMEE, FL 34747-1821
(407) 654-0181
(407) 877-4471
Mailing address
13506 SUMMERPORT VILLAGE PKWY, SUITE 254, WINDERMERE, FL 34786-7366
(954) 288-3032
(407) 877-3276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196608
GREATWEST #
FL
01
—
27451
SPECTERA & UNITED #
FL
01
—
3330
SUPERIOR VISION#
FL
01
—
51694
DAVIS VISION #
FL
05
—
621002300
—
FL
01
—
919009
BLOCK VISION #
FL
01
—
AO2695
EYEMED
FL
01
—
K9038
GROUP NUMBER
FL
Enumeration date
03/28/2007
Last updated
02/07/2018
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