Healthcare Provider Details

I. General information

NPI: 1316396591
Provider Name (Legal Business Name): PAUL VINCENT MCHENRY O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1869 W LITTLETON BLVD
LITTLETON CO
80120-2020
US

IV. Provider business mailing address

1869 W LITTLETON BLVD
LITTLETON CO
80120-2020
US

V. Phone/Fax

Practice location:
  • Phone: 303-848-2848
  • Fax: 303-795-3023
Mailing address:
  • Phone: 303-848-2848
  • Fax: 303-795-3023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.0003565
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: