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Deactivated NPI 1922063999 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald Lee Henderson , OD

Optometrist • Offutt Afb, NE

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Henderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 20, 2006
NPI Deactivation Date October 24, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Henderson, OD was a registered Optometrist practicing in Offutt Afb, NE. Throughout an active medical career spanning 12 years, Dr. Henderson provided care at the practice location at 2501 CAPEHART RD until profile deactivation on 2018-10-24.

Practice Location & Contact Primary Location

Practice Address

2501 Capehart Rd

Offutt Afb, NE 681132160

Telephone 4022943811
Associated Practice Facility / Clinic
🏢 55 Mdos Facility NPI 1881095669

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Offutt Afb, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 23.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Offutt Afb, NE (469 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

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NE 989

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1144720921

Doctor of Audiology

NPI 1184903395

Doctor of Optometry

NPI 1881892982

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 24, 2018

Record deactivated on October 24, 2018

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681132160 (Tel: 4022943811)

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Updated Business Mailing Address July 09, 2007

Registered at 1604 GRANDVIEW AVE, #26, PAPILLION, NE 680465817 (Tel: 3083903413)

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Provider Name / Credentials Updated July 09, 2007

Recorded as GERALD HENDERSON, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #989 in NE)

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Initial NPI Registration & Enumeration April 20, 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: 1922063999
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2006
Last Update: July 09, 2007
Deactivation Date: October 24, 2018

Mailing Address

1604 Grandview Ave, #26

Papillion, NE 680465817

Phone: 3083903413

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.