DR. DOUGLAS J. HENRY O.D.
NPI 1750377958
Optometrist in Lewiston, ME

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
168 EAST AVE, LEWISTON, ME 04240(207) 784-3564(207) 782-2541 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas J. Henry O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS J. HENRY O.D. (NPI 1750377958) is an individual optometrist in Lewiston, Maine, licensed in Maine (OPT833) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1999).

NPPES Registry Identity

NPI1750377958
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DOUGLAS J. HENRYCredential: O.D.
Location Address168 EAST AVELewiston, ME 04240-5626
Mailing Address168 East AveLewiston, ME 04240-5626 · (207) 784-3564 · Fax (207) 782-2541
Fax(207) 782-2541
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1999
Enumeration DateSeptember 22, 2005
Last NPPES UpdateJanuary 4, 2011
NPI 1750377958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in ME · OPT833
Definition
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License OPT833 (ME)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License OPT833 (ME)
168 EAST AVE, Lewiston, ME 04240

Other Identifiers 5

Other0324520001ME · Dme
Other025957ME · Anthem-bc/bs
Medicare ID-Type UnspecifiedMM7974ME
Medicare UPINU76915ME
Medicaid322020099ME

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas J. Henry O.d. 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.

PECOS PAC ID5395713184
PECOS Enrollment IDI20040920000850
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,772 services16 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
306 services285 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
194 services181 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
176 services92 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
110 services95 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
83 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%46 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
1%397 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
168 EAST AVE
LEWISTON, ME 04240
Optometrist
168 EAST AVE, OPTOMETRIC ASSOCIATES
LEWISTON, ME 04240
Optometrist
168 EAST AVE
LEWISTON, ME 04240
Optometrist
168 EAST AVE
LEWISTON, ME 04240

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 Douglas Henry's NPI number?

The NPI number for Douglas Henry is 1750377958. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Douglas Henry located?

Douglas Henry practices at 168 East Ave, Lewiston, ME 04240. The listed phone number is (207) 784-3564.

What is Douglas Henry's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Douglas Henry enrolled in Medicare?

Yes. Douglas Henry 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.

What insurance does Douglas Henry accept?

Health plans from Providence Health Plan list Douglas Henry 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 Douglas Henry was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.