WILLIAM C HENSON OD PA
NPI 1104176882
Optometrist in Boone, NC
About William C Henson Od Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM C HENSON OD PA (NPI 1104176882), doing business as Blue Ridge Vision, is a healthcare organization registered as an optometrist in Boone, North Carolina and active in the NPI registry since September 2012. The organization lists William C Henson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William C Henson Od Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to William C Henson Od PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is William C Henson Od PA's NPI number?
The NPI number for William C Henson Od PA is 1104176882. It was assigned to this organization in the NPPES registry on September 11, 2012. The provider is doing business as Blue Ridge Vision. The provider was formerly known as Daniel J Sullivan OD PA.
Where is William C Henson Od PA located?
William C Henson Od PA is located at 1180 Blowing Rock Rd Ste A1, Boone, NC 28607. The listed phone number is (828) 264-2020.
What is William C Henson Od PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is William C Henson Od PA enrolled in Medicare?
Yes. William C Henson Od PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through William C Henson Od PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to William C Henson Od PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does William C Henson Od PA accept?
Health plans from Blue Cross and Blue Shield of NC list William C Henson Od PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for William C Henson Od PA was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# William C Henson Od Pa · NPI 1104176882
Optometrist organization in Boone, North Carolina. Organization record, active in the CMS NPPES registry since September 11, 2012.
## Identity
- **NPI:** 1104176882 (Entity type: Organization)
- **Enumerated:** September 11, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Blue Ridge Vision (Doing Business As); Daniel J Sullivan OD PA (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** William Henson, OWNER
## Practice location
- **Address:** 1180 BLOWING ROCK RD STE A1, Boone, NC 28607-4600
- **Phone:** (828) 264-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1104176882) · Data from the CMS NPPES public registry.