Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CRYSTAL ROSE HENDERSON
NPI 1215892070
Optometrist in Tahlequah, OK

Q: What is Crystal Henderson's NPI number?

The NPI number for Crystal Henderson is 1215892070. It was assigned to this individual provider in the NPPES registry on December 23, 2025.

Q: What is Crystal Henderson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Henderson was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 23, 2025

870 E CRAFTON ST, TAHLEQUAH, OK 74464(580) 504-8922 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 25, 2026, Dec 23, 2025 (2 updates tracked since 2025).

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About Crystal Rose Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL ROSE HENDERSON (NPI 1215892070) is an individual optometrist in Tahlequah, Oklahoma, licensed in Oklahoma (3346) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1215892070

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameCRYSTAL ROSE HENDERSON

Location Address870 E CRAFTON STTahlequah, OK 74464-3380

Mailing Address1520 Northpark DrTahlequah, OK 74464-6241

Phone(580) 504-8922

Sole ProprietorNo

Enumeration DateDecember 23, 2025

Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1215892070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OK · 3346

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

870 E CRAFTON ST, Tahlequah, OK 74464

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RYAN STEVEN KERR OD

Optometrist