Provider Demographics
NPI:1003301664
Name:HENSON, HALEY (OD)
Entity type:Individual
Prefix:DR
First Name:HALEY
Middle Name:
Last Name:HENSON
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 APPLEJACK BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-3401
Mailing Address - Country:US
Mailing Address - Phone:205-333-0016
Mailing Address - Fax:205-339-6751
Practice Address - Street 1:801 APPLEJACK BLVD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-3401
Practice Address - Country:US
Practice Address - Phone:205-333-0016
Practice Address - Fax:205-339-6751
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-E11-TA-B26152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist