P Praxis·MD
● Active Type 1 · Individual

Lance Henderson

Optometrist·Preston, ID· NPI 1225186398 · Enumerated 2007 · 19 years on NPI
Henderson is 1 of 5 optometrist providers in Preston and 1 of 598 in Idaho.
NPI age
19 years
Enumerated 2007-01-08
Primary specialty
Optometrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-04-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 598 active optometrist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
134 N State St
Preston, ID 832631143
📞 2088523030
Mailing address
749 North 4900 West, P.o. Box 143
Dayton, ID 83232
📞 2087473020

Specialties

  • Optometrist Primary
    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...
    ID license #ODP-1004 taxonomy 152W00000X

Identifiers

TypeValueNotes
05 (ID) 807028800

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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