Crystal Rose Henderson

Primary specialty

OptometristTaxonomy code 152W00000X

License

3346 Issued in OK

Practice address

870 E Crafton St
Tahlequah, OK 74464-3380

Phone

(580) 504-8922

NPI assigned

Dec 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1215892070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 NORTHPARK DR",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744646241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 E CRAFTON ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643380",
            "telephone_number": "580-504-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CRYSTAL",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-23",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Clay Headrick, D.O.
• Healthcare Dining Solutions, Inc
• Erin A Hearn
• Elise Caroline Hefner, AUD, CCC-A
• Helen Farris
• Alexander Hendricks, PHARMD
• Marilyn Marie Hendrickson
• Joe Wesley Henry, CRT
• Robert V Hensley, D.O.
• Anthony Ray Henson

• Optometrist in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.