Individual provider Active NPI

Haley Henson, OD

  • Optometrist
  • Northport, AL
National Provider Identifier
1003301664
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-E11-TA-B26 Issued in AL
Practice address
801 Applejack Blvd
Northport, AL 35473-3401
Phone
(205) 333-0016
Fax
(205) 339-6751
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-E11-TA-B26 AL Primary

Addresses

Primary practice location

801 Applejack Blvd
Northport, AL 35473-3401

Mailing address

801 Applejack Blvd
Northport, AL 35473-3401
Phone (205) 333-0016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190610001406 AL Practitioner - Optometry 5799018537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

801 Applejack Blvd
Northport, AL 35473-3401
Phone (205) 333-0016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Martin Family Eyecare Optometrist CurrentSince May 13, 2021 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients

Locations

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

801 Applejack Blvd
Northport, AL 35473
Phone (205) 333-0016

911 Hargrove Rd E
Tuscaloosa, AL 35405
Phone (205) 507-7810

925 Mally St
Tuscaloosa, AL 35405
Phone (205) 344-5111

Networks

  • MS PPO D-SNP
  • MS PPO C-SNP
  • MS PPO
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • TN PPO
  • AL HMO
  • TN PPO C-SNP
  • AL HMO D-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68

Interoperability endpoints

  • Direct secure messaging: haleyhenson@direct.eyecare-partners.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1003301664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 APPLEJACK BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354733401",
            "telephone_number": "205-333-0016",
            "fax_number": "205-339-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 APPLEJACK BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354733401",
            "telephone_number": "205-333-0016",
            "fax_number": "205-339-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "HALEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E11-TA-B26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.