William C Henshaw is a Sports Vision in Lodi, California. William C Henshaw practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for William C Henshaw is 1205940889. The last update date is 2023-03-07.
William C Henshaw's current location address is 801 S Fairmont Ave Ste 5, Lodi, California. You can contact this provider via phone number 2093342020 and fax number 2093332015. The mailing address for William C Henshaw is 801 S Fairmont Ave Ste 5, Lodi, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William C Henshaw |
|---|---|
| Address | 801 S Fairmont Ave Ste 5, Lodi, California |
| Phone Number | 2093342020 |
| Fax Number | 2093332015 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1205940889 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 801 S Fairmont Ave Ste 5 |
|---|---|
| City | Lodi |
| State | California (CA) |
| Post Code | 952405106 |
| Phone Number | 2093342020 |
| Fax Number | 2093332015 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Vision |
|---|---|
| Taxonomy | 152Ws0006X |
| Licence No | 50360 TPA |
|
Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SD0050360 | CA | -- | |
| 5036 TPA | CA | OPTOMETRY LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to William C Henshaw by the Centers for Medicare & Medicaid Services?
The William C Henshaw has been issued the NPI (National Provider Identifier) 1205940889 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of William C Henshaw?
The William C Henshaw is physically situated at 801 S Fairmont Ave Ste 5, in the city of Lodi, state of CA, with the postal code 952405106.
What is William C Henshaw's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for William C Henshaw is Sports Vision, and the taxonomy code that classifies this field of practice is 152Ws0006X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205940889 to William C Henshaw?
The Centers for Medicare & Medicaid Services originally issued the 1205940889 to William C Henshaw on 2006-08-19.
When was the William C Henshaw's information last updated?
The William C Henshaw's information was last updated on 2023-03-07.
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