Provider Demographics
NPI:1720065964
Name:HADLEY, HELEN B (OD)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:B
Last Name:HADLEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 SAMFORD VILLAGE COURT
Mailing Address - Street 2:SUITE 120
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830
Mailing Address - Country:US
Mailing Address - Phone:334-466-1226
Mailing Address - Fax:
Practice Address - Street 1:348 SAMFORD VILLAGE COURT
Practice Address - Street 2:SUITE 120
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830
Practice Address - Country:US
Practice Address - Phone:334-466-1226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001240152W00000X
ALR-170-TA-810152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9237003Medicaid
VA9237003Medicaid
VA000229J27Medicare ID - Type Unspecified