Individual
SCOTT J HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
500 WINCHESTER AVE UNIT 810, ASHLAND, KY 41101-7362
(606) 324-3672
Mailing address
132 WILLOWOOD CIR, HURRICANE, WV 25526-9272
(304) 546-1223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0936-IOD
WV
152W00000X
Optometrist
10241269-9934
UT
152W00000X
Optometrist
Primary
2091DT
KY
152W00000X
Optometrist
OPT.006517
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149908000
—
WV
Enumeration date
03/23/2006
Last updated
06/27/2023
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