DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GREGORY BRENT HAGEDORN, OD

Active Sole Proprietor

DR. GREGORY BRENT HAGEDORN, OD is a Optometrist healthcare provider located in HENDERSON, Kentucky. NPI 1316905169 is currently active in the NPPES registry. Verify at CMS.

Optometrist · HENDERSON, KY

Registration Details

NPI Number
1316905169
Provider Type
Individual
Gender
Male
NPI Issued
May 2, 2006 (20.271077008672 yrs)
Last Updated
Jul 22, 2014
Licenses
1016DT (KY)
1016DT (KY)
Sole Proprietor
Yes

Practice Information

Address
1413 N ELM ST
SUITE 102
HENDERSON, KY, 424202768
Browse KY providers · Browse ZIP 42420
Phone
2708261500
Fax
2708270757
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in HENDERSON, KY

Name Credential NPI
JOHN FREDRICK LITKE OD 1912903634
ROBERT L. COTTINGHAM OD 1588661573
SALLY M FIFE OD 1053470542
DR. SARA LYNN SAGEZ-BARNETT O.D. 1326359746
KRISTIN N WERKMEISTER O D 1982917837
ERIC J STOLTZ O.D. 1750637435
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.