LANCE HENDERSON – Optometrist, NPI 1225186398

LANCE HENDERSON is a healthcare provider. based in Preston, Idaho. specializing in OPTOMETRY. They hold a License No. ODP-1004 (ID). The NPI Number for LANCE HENDERSON is 1225186398

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
LANCE HENDERSON
NPI
1225186398
Phone
(208) 852-3030
Address
134 N STATE ST
Enumeration Date
8 January 2007
Last Update Date
15 April 2009

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2088523030
Graduation Year
1998 (28 years ago)
PAC ID
4183696842
Group Practice PAC ID
1951466481
Professional Enrollment ID
I20050125000271
Address ID
ID832631143PR134XXSTXX402
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

270 OPTOMETRY in ID

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Provider Addresses for LANCE HENDERSON

  • 134, North State Street, Preston, Franklin County, Idaho, 83263, United States

    PRESTON, ID 832631143

    Phone: (208) 852-3030

    Type: Location

  • Dayton Street, Temple Square, West Hill, Akron, Summit County, Ohio, 44310, United States

    P.O. BOX 143

    DAYTON, ID 83232

    Phone: (208) 747-3020

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $192.

Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($111).

Total Amount

$192

General + Research + Ownership

Payments

6

Total payment records

General Amount

$192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-01-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040812000142IOptometryUTTBD
I20050125000271IOptometryIDTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes152145$0
92250Photography of the retina139134$0
99213Established patient office or other outpatient visit, 20-29 minutes4940$0
92134Imaging of retina3834$0
66984Removal of cataract with insertion of prosthetic lens3723$0
View full utilization report →

Insurance plans in this area (ZIP 83263)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951466481View full group profile
NameSpecialtyState
-ID
O P T O M E T R YUT

Reviews

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Frequently asked questions

What is the standard ID for LANCE HENDERSON in the U.S.?
In the U.S., LANCE HENDERSON is identified by NPI 1225186398.
Quick check: is LANCE HENDERSON active?
Public NPPES data shows LANCE HENDERSON with an active NPI status right now.
What services align with LANCE HENDERSON's listing?
LANCE HENDERSON's public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to LANCE HENDERSON?
The directory associates LANCE HENDERSON with Preston, Idaho. Check all listed addresses for suites or satellite offices.
Why is information missing for LANCE HENDERSON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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