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

DR. LANDON KNIGHT HAGBERG, O.D.

Active Sole Proprietor

DR. LANDON KNIGHT HAGBERG, O.D. is a Optometrist healthcare provider located in NAMPA, Idaho. NPI 1699087437 is currently active in the NPPES registry. Verify at CMS.

Optometrist · NAMPA, ID

Registration Details

NPI Number
1699087437
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2010 (16.07908799005 yrs)
Last Updated
Aug 20, 2013
Licenses
100220 (ID)
5947 (OH)
Sole Proprietor
Yes

Practice Information

Address
10876 MUD SPRINGS AVE.
NAMPA, ID, 836878013
Browse ID providers · Browse ZIP 83687
Phone
2087572289
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in NAMPA, ID

Name Credential NPI
DR. DANIEL L TILLER O.D. 1154314268
DR. RODNEY L WHITE O.D. 1487647509
DR. JOY GAYLE JOHNSON O.D. 1659324960
JAMES K DEAN O.D. 1033121538
KEVIN G DEAN O.D. 1962516385
MR. MARK MATTHEW MCKELL O.D. 1396853974
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.