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

Michael Daniel Henderson, LDO

Individual provider Optician · NPI 1366501231

Michael Daniel Henderson, LDO is an Optician in Summerfield, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

17961 S US Highway 441
Summerfield, FL 34491-8685
Phone: (352) 307-4435
Fax: (352) 307-4437
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence DO3183FL (FL)

Record details

NPI number1366501231
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorNo
NPI enumeratedDecember 7, 2006
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023
Mailing address17961 S Us Highway 441, Summerfield, FL 34491-8685

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