Provider Demographics
NPI:1194013839
Name:HENSEL, NADIA EKSIR (OD)
Entity Type:Individual
Prefix:DR
First Name:NADIA
Middle Name:EKSIR
Last Name:HENSEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 602658
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2658
Mailing Address - Country:US
Mailing Address - Phone:336-716-2011
Mailing Address - Fax:
Practice Address - Street 1:1014 N ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1424
Practice Address - Country:US
Practice Address - Phone:336-274-2149
Practice Address - Fax:336-274-4092
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2275152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP01169798OtherRR MEDICARE
NCNCA634DMedicare PIN
NCNCA634EMedicare PIN
NCA10036OtherEYEMED
9296886OtherAETNA
NC5922274Medicaid
NCNCA634CMedicare PIN
NCNCA634AMedicare PIN
NCNCA634BMedicare PIN
NC176KAOtherBCBS OF NC