Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ADAM L HICKENBOTHAM, OD
Active Sole ProprietorMR. ADAM L HICKENBOTHAM, OD is a Optometrist healthcare provider located in PROVO, Utah. NPI 1063462778 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PROVO, UT
Registration Details
- NPI Number
- 1063462778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.223770989574 yrs)
- Last Updated
- Dec 3, 2024
- Licenses
-
2028DT (KY)11993238-9934 (UT)OPT 12423 TPA (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
122 E 1700 S BLDG 3PROVO, UT, 846065644Browse UT providers · Browse ZIP 84606
- Phone
- 3852485550
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
Other Optometrist Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. FRANK MIDDLETON EDMUNDS | O.D. | 1578560165 |
| DR. JOE REX HAGGARD | O.D. | 1508863978 |
| DR. BLAINE F BIRD | O.D. | 1871581652 |
| DR. PHILLIP ANTHONY PLOTHOW | OD | 1235110149 |
| DR. DELL C MORRIS | OD | 1619947991 |
| DR. TODD J LEWIS | OD | 1801856976 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.