MEDICARE: MRS. WHITNEY LEIGH HENSLEY LDO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	1101004329	VA

General Provider Information

NPI Number	:	1699609412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WHITNEY LEIGH HENSLEY LDO

Provider Business Mailing Address
First Line	:	2054 PRO POINTE LN
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-8021
Country	:	US
Telephone Number	:	540-908-9494
Fax Number	:	540-301-2078

Provider Business Practice Location Address
First Line	:	2054 PRO POINTE LN
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-8021
Country	:	US
Telephone Number	:	540-908-9494
Fax Number	:	540-301-2078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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