DR. FALLON DE VAY HENDERSON OD
NPI 1215772132
Optometrist in Orlando, FL
About Dr. Fallon De Vay Henderson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FALLON DE VAY HENDERSON OD (NPI 1215772132) is an individual optometrist in Orlando, Florida, licensed in Florida (OPC6523) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Fallon De Vay Henderson Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Fallon Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Titusville, FL 32780
- Reassigned Medicare billing, Florida enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32827 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORLANDO, FL 32827
ORLANDO, FL 32827
ORLANDO, FL 32827
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 Fallon Henderson's NPI number?
The NPI number for Fallon Henderson is 1215772132. It was assigned to this individual provider in the NPPES registry on July 1, 2024.
Where is Fallon Henderson located?
Fallon Henderson practices at 13800 Veterans Way, Orlando, FL 32827. The listed phone number is (407) 599-1404.
What is Fallon Henderson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Fallon Henderson enrolled in Medicare?
Yes. Fallon Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Fallon Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fallon Henderson reassigns Medicare benefits to Hendrixs Eye Care, Inc. (Titusville, FL). The 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 Fallon Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fallon Henderson accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Fallon Henderson 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 Fallon Henderson was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Fallon De Vay Henderson, OD · NPI 1215772132
Optometrist provider in Orlando, Florida. Individual provider, active in the CMS NPPES registry since July 1, 2024.
## Identity
- **NPI:** 1215772132 (Entity type: Individual)
- **Enumerated:** July 1, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPC6523 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 13800 VETERANS WAY, Orlando, FL 32827-7401
- **Phone:** (407) 599-1404
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Hendrixs Eye Care, Inc. (NPI 1528424439, Titusville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 1, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1215772132) · Data from the CMS NPPES public registry.