Healthcare Provider Details

I. General information

NPI: 1538509674
Provider Name (Legal Business Name): JANINE JOY HENRY O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2013
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 KNOX ABBOTT DR
CAYCE SC
29033-4127
US

IV. Provider business mailing address

600 KNOX ABBOTT DR
CAYCE SC
29033-4127
US

V. Phone/Fax

Practice location:
  • Phone: 803-794-4444
  • Fax: 803-794-2085
Mailing address:
  • Phone: 803-794-4444
  • Fax: 803-794-2085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1756
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: