National Provider Identifier
Owen David Henry, OD
Owen David Henry, OD is listed in the NPPES registry with a primary specialty of Optometrist in Orchard Park, NY and a listed phone number of (716) 674-6030.
Profile Overview
- NPI
- 1093473746
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- November 30, 2021
- Last Updated
- February 04, 2022
Practice Location
- 3151 Southwestern Blvd
- Orchard Park, NY 14127-1212
Phone: (716) 674-6030
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1093473746
- Entity Type
- Individual
- Last Name
- Henry
- First Name
- Owen
- Middle Name
- David
- Credential
- OD
- Mailing Street Address
- 3151 Southwestern Blvd
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1212
- Mailing Country
- US
- Mailing Phone
- (716) 674-6030
- Mailing Fax
- (716) 674-6052
- Practice Street Address
- 3151 Southwestern Blvd
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1212
- Practice Country
- US
- Practice Phone
- (716) 674-6030
- Enumeration Date
- November 30, 2021
- Last Updated
- February 04, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- February 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)