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DR. BREELEY HENZEN OD
NPI 1780253633
Optometrist in Lucedale, MS

Active since June 23, 2021PECOS EnrolledAccepts Medicare Assignment
727 WINTER ST, LUCEDALE, MS 39452(601) 947-2913(601) 766-0212 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 13, 2025, Jun 23, 2021 (2 updates tracked since 2021).

About Dr. Breeley Henzen Od NPPES

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

DR. BREELEY HENZEN OD (NPI 1780253633) is an individual optometrist in Lucedale, Mississippi, licensed in Mississippi (1032) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wiggins, and is a graduate of Southern College Of Optometry (2021).

NPPES Registry Identity

NPI1780253633
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. BREELEY HENZENCredential: OD
Location Address727 WINTER STLucedale, MS 39452-5949
Mailing Address1113 Central Ave EWiggins, MS 39577-9605 · (601) 928-3914 · Fax (601) 928-2207
Phone(601) 947-2913
Fax(601) 766-0212
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2021
Enumeration DateJune 23, 2021
Last NPPES UpdateMarch 13, 20252 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1780253633 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 MS · 1032
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.
727 WINTER ST, Lucedale, MS 39452
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Other Names 1

Former Name (1)Breeley Sellier Od

Secondary Practice Location 1

Location 11113 Central Ave EWiggins, MS 39577-9605 · Phone (601) 928-3914 · Fax (601) 928-2207

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Breeley Henzen Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456756204
PECOS Enrollment IDI20210817004280
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
83 services82 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
60 services48 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
58 services58 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
34 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services26 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39452 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. KRISTEN ANA TRAINER OD
Optometrist
727 WINTER ST
LUCEDALE, MS 39452
George County (601) 947-2913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breeley Henzen's NPI number?

The NPI number for Breeley Henzen is 1780253633. It was assigned to this individual provider in the NPPES registry on June 23, 2021. The provider is also known as Breeley Sellier Od.

Where is Breeley Henzen located?

Breeley Henzen practices at 727 Winter St, Lucedale, MS 39452. The listed phone number is (601) 947-2913.

What is Breeley Henzen's specialty?

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

Is Breeley Henzen enrolled in Medicare?

Yes. Breeley Henzen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Breeley Henzen accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 10 other insurers list Breeley Henzen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Breeley Henzen was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.