Henshaw, William C

Henshaw, William C is an sole proprietor health care provider with primary practice located at 801 S Fairmont Ave Ste 5 , Lodi CA 95240-5106. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Henshaw, William C can be contacted via phone (209) 334-2020.

Contact Information

Primary practice address
801 S Fairmont Ave Ste 5 Lodi CA 95240-5106
Fax: (209) 333-2015
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5036 TPA California
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 5036 TPA California
Eye and Vision Services Providers / Sports Vision 152WS0006X 50360 TPA California
Eye and Vision Services Providers / Vision Therapy 152WV0400X 5036 TPA California

Profile Details

NPI number 1205940889
LBN Legal business name Henshaw, William C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205940889 NPPES
California MEDICAID SD0050360
California Other 5036 TPA

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