DR. NICKSON HENRY (O.D.) – Optometrist, NPI 1043247380

DR. NICKSON HENRY (O.D.) is a healthcare provider. based in Stockbridge, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2263 (GA). The NPI Number for DR. NICKSON HENRY (O.D.) is 1043247380

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICKSON HENRY (O.D.)
NPI
1043247380
Phone
(770) 474-5617
Address
3564 HIGHWAY 138 SE
Enumeration Date
26 June 2006
Last Update Date
3 September 2014

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7704745617
Graduation Year
2005 (21 years ago)
PAC ID
2769588581
Professional Enrollment ID
I20070510000379
Address ID
GA302814170ST3564XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for DR. NICKSON HENRY (O.D.)

  • 3564 HIGHWAY 138 SE

    STOCKBRIDGE, GA 302814170

    Phone: (770) 474-5617

    Fax: (770) 474-6576

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $695.

Total Amount is formed as General ($695) + Research ($0) + Ownership ($0) = $695.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($329).

Total Amount

$695

General + Research + Ownership

Payments

23

Total payment records

General Amount

$695

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070510000379IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina107104$0
99213Established patient office or other outpatient visit, 20-29 minutes9852$0
92285Photography of content of eyes8986$0
92014Established patient complete exam of visual system4646$0
99214Established patient office or other outpatient visit, 30-39 minutes3736$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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Reviews

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Frequently asked questions

Is there an official ID for DR. NICKSON HENRY (O.D.) in U.S. healthcare records?
The official identifier for DR. NICKSON HENRY (O.D.) is NPI 1043247380.
Active or inactive — what applies to DR. NICKSON HENRY (O.D.)?
You should see DR. NICKSON HENRY (O.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. NICKSON HENRY (O.D.)?
DR. NICKSON HENRY (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. NICKSON HENRY (O.D.) located near Stockbridge?
DR. NICKSON HENRY (O.D.) currently maps to Stockbridge, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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