Healthcare Provider Details

I. General information

NPI: 1699609412
Provider Name (Legal Business Name): WHITNEY LEIGH HENSLEY LDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2054 PRO POINTE LN
HARRISONBURG VA
22801-8021
US

IV. Provider business mailing address

2054 PRO POINTE LN
HARRISONBURG VA
22801-8021
US

V. Phone/Fax

Practice location:
  • Phone: 540-908-9494
  • Fax: 540-301-2078
Mailing address:
  • Phone: 540-908-9494
  • Fax: 540-301-2078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number1101004329
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: