NPI 1306830799

Gregory L Henderson MD Facs INC

Organisation Optometrist Ruskin, FL

Practice location

Address: 612 N Tamiami Trl, Ruskin, FL 33570-3769
Phone: (813) 645-3831
Fax: (813) 645-4402
Mailing address: 403 Vonderburg Dr, Brandon, FL 33511-5982

Authorised official

Name: Gregory L Henderson
Title: President
Phone: (813) 681-1122

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Florida →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Florida →

Registry record

NPI: 1306830799
Entity type: Organization
NPI issued: 31 Aug 2005
Record last updated: 19 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.