Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Breeley Henzen, OD

Individual provider Optometrist · NPI 1780253633

Dr. Breeley Henzen, OD is an Optometry in Lucedale, Mississippi. Graduated from Southern College of Optometry in 2021, 5 years ago. Practices with The Vision Center PA, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Trained at
Southern College of Optometry
Licensed in
MS
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

727 Winter St
Lucedale, MS 39452-5949
Phone: (601) 947-2913
Fax: (601) 766-0212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1113 Central Ave E, Wiggins, MS 39577-9605 — (601) 928-3914

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1032 (MS)

Record details

NPI number1780253633
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 23, 2021
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025
Mailing address1113 Central Ave E, Wiggins, MS 39577-9605

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice The Vision Center Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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