Healthcare Provider Details

I. General information

NPI: 1720065964
Provider Name (Legal Business Name): HELEN B HADLEY OD.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 06/12/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 SAMFORD VILLAGE COURT SUITE 120
AUBURN AL
36830
US

IV. Provider business mailing address

348 SAMFORD VILLAGE COURT SUITE 120
AUBURN AL
36830
US

V. Phone/Fax

Practice location:
  • Phone: 334-466-1226
  • Fax:
Mailing address:
  • Phone: 334-466-1226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618001240
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberR-170-TA-810
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: