Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174589592 Individual Practitioner Male Practitioner

Dr. Michael Sentman Henderson , OD

Optometrist • Provincetown, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Henderson, OD is a certified Optometrist practicing in Provincetown, MA. With approximately 40 years of clinical experience since graduating from Indiana University - School Of Optometry in 1986, Dr. Henderson delivers high-quality medical care to the local community at 49 HARRY KEMP WAY.

Dr. Henderson is affiliated with Outer Cape Health Services Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

49 Harry Kemp Way

Provincetown, MA 026571618

Telephone 5084321400
Associated Practice Facility / Clinic
🏢 Outer Cape Health Services Facility NPI 1841384013

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Provincetown, MA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs Matches City Avg
City Avg: 40.0 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Provincetown, MA (1567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Henderson (40 Years) 40 Yrs
Provincetown Specialty Average (40.0 Years) 40.0 Yrs

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MA 4789

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License SC 879

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License GA 1102

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
D08793 (SC)

Hospital & Practice Group Affiliations

Outer Cape Health Services Inc

49 Harry Kemp Way, Provincetown, MA 026571618

Phone: 5084879395

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Jessica Chipman , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043196751

Nurse Practitioner

Susan Syty , PA-C

Physician Assistant

NPI 1053631523

Physician Assistant (Certified)

Dr. Kelly King , MD

Family Medicine

NPI 1063049062

Doctor of Medicine (M.D.)

NPI 1073474771

Licensed Clinical Social Worker

Marianne Harris , APRN, CNP

Nurse Practitioner - Family

NPI 1083674311

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Teresa Corcoran , MD

Internal Medicine

NPI 1093880411

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2014

Registered at 49 HARRY KEMP WAY, PROVINCETOWN, MA 026571618 (Tel: 5084321400)

📍
Updated Business Mailing Address August 23, 2014

Registered at 49 HARRY KEMP WAY, PROVINCETOWN, MA 026571618 (Tel: 5084321400)

👤
Provider Name / Credentials Updated August 23, 2014

Recorded as MICHAEL HENDERSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2014

Optometrist (License #4789 in MA)

🟢
Initial NPI Registration & Enumeration April 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174589592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2006
Last Update: August 23, 2014
Sole Proprietor: Yes

Mailing Address

49 Harry Kemp Way

Provincetown, MA 026571618

Phone: 5084321400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.