Where does Nickson Henry practice medicine?

Nickson Henry has the following practice address:3564 HIGHWAY 138 SE, STOCKBRIDGE, GA 30281-4170

Does this provider have a license number?

Nickson Henry has the following license number: License Number 2263 issued in Georgia.

Does Nickson Henry accept Medicare?

Yes. The provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Does Nickson Henry have any board certifications?

The provider does not have any board certifications.

Is Nickson Henry a member of any Medical Groups?

Nickson Henry is not affiliated with any medical groups.

Does Nickson Henry participate in PECOS?

Yes, Nickson Henry participates in PECOS.

What phone number can I call to contact Nickson Henry?

You can call the following number: (770)-474-5617

Are there any exclusions against this provider?

We have not detected any Exclusions tied directly to Nickson Henry.

Is Nickson Henry affiliated with any hospitals?

The provider is not affiliated with any hospitals.

When was this information last updated?

The CMS-based NPPES information was updated approximately 11 years ago (9/3/2014).

Overview Referral Sources Referral Destinations Practice Locations 1 Prescriptions Procedures Same Address Same Phone

No Medical Groups

No Affl. Hospitals

Primary Practice Address
3564 HIGHWAY 138 SE
STOCKBRIDGE, GA 30281-4170 US

Accepts Medicare Payment

PECOS Enrolled

Nickson Henry

Optometrist

STOCKBRIDGE, GA
Phone: (770)-474-5617
Last Updated 9/3/2014

Overview

Q: What type of a medical provider is Nickson Henry?

Nickson Henry is a Optometrist.

Q: Where did this provider go to school?

The physcian attended Pennsylvania College Of Optometry and graduated 2005.

Nickson Henry is a Optometrist in the STOCKBRIDGE area and has over 20 years of experience. Nickson Henry primary office location is at 3564 HIGHWAY 138 SE and new patients are welcome to contact this healthcare provider for an appointment. He attended Pennsylvania College Of Optometry and graduated 2005 The NPI number is 1043247380 and the information was updated approximately 11 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
3564 HIGHWAY 138 SE
STOCKBRIDGE, GA 30281-4170 US
Phone: (770)-474-5617
Fax:

Practice Mailing Information
3564 HIGHWAY 138 SE
STOCKBRIDGE, GA 30281-4170 US
Phone: (770)-474-5617
Fax: (770)-474-6576

License Number	State
2263	GA

Type/Issuer	Identifier	State
MEDICAID	238123293B	GA

Taxonomy	State	Primary?
Optometrist - Taxonomy Code 152W00000X	GA	Y

Students in Nearby Cities

The numbers count the providers that list Student as their Primary Taxonomy.

Nearby Students

indicates nearby providers with referral data.

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20070510000379
PECOS Individual PAC ID:	2769588581
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	-

Nickson Henry

Optometrist

Overview

Contact Information

Quality Reporting:

PECOS Details:

Students in Nearby Cities

Nearby Students

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