Dr. Gregory B. Hagedorn, Od in Henderson - Eyewear Supplier

Dr. Gregory B. Hagedorn, Od - NPI 1205013547

Dr. Gregory B. Hagedorn, Od is a Eyewear Supplier in Henderson, Kentucky. Dr. Gregory B. Hagedorn, Od practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Dr. Gregory B. Hagedorn, Od is 1205013547. The last update date is 2009-04-27.

Dr. Gregory B. Hagedorn, Od's current location address is Po Box 577, Henderson, Kentucky. You can contact this provider via phone number 2708261500 and fax number 2708270757. The mailing address for Dr. Gregory B. Hagedorn, Od is Po Box 577, Henderson, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dr. Gregory B. Hagedorn, Od
Address Po Box 577, Henderson, Kentucky
Phone Number 2708261500
Fax Number 2708270757
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Rutherford M Jan
Telephone Number 2708261500

NPI Number Detail

NPI Number 1205013547
Provider Enumeration Date 2008-01-29
Last Updated Date 2009-04-27

Provider Mailing Address Detail

Address Po Box 577
City Henderson
State Kentucky (KY)
Post Code 424190577
Phone Number 2708261500
Fax Number 2708270757

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 1016DT
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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FAQs about Dr. Gregory B. Hagedorn, Od

What is the unique identification code assigned to Dr. Gregory B. Hagedorn, Od by the Centers for Medicare & Medicaid Services?

The Dr. Gregory B. Hagedorn, Od has been issued the NPI (National Provider Identifier) 1205013547. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Dr. Gregory B. Hagedorn, Od?

The Dr. Gregory B. Hagedorn, Od is situated at Po Box 577, in the city of Henderson, state of KY, with the zip code 424190577.

What is the Dr. Gregory B. Hagedorn, Od's area of specialization and corresponding taxonomy classification?

The Dr. Gregory B. Hagedorn, Od's specialty field is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their specialties.

When did Dr. Gregory B. Hagedorn, Od receive its 1205013547 assignment?

The Dr. Gregory B. Hagedorn, Od was assigned its 1205013547 on 2008-01-29, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Dr. Gregory B. Hagedorn, Od most recently updated or revised?

The information pertaining to Dr. Gregory B. Hagedorn, Od, including its address, specialty, and other relevant details, was last updated or revised on 2009-04-27.

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