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

DEREK LUKE MADDOX, OD

Active Sole Proprietor

DEREK LUKE MADDOX, OD is a Optometrist healthcare provider located in GRAND ISLAND, Nebraska. NPI 1992315196 is currently active in the NPPES registry. Verify at CMS.

Optometrist · GRAND ISLAND, NE

Registration Details

NPI Number
1992315196
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2020 (6.0229803150104 yrs)
Last Updated
Dec 14, 2023
License
1516 (NE)
Sole Proprietor
Yes

Practice Information

Address
3540 PRAIRIEVIEW ST
GRAND ISLAND, NE, 68803
Browse NE providers · Browse ZIP 68803
Phone
3083846922
Fax
3083847824
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in GRAND ISLAND, NE

Name Credential NPI
DR. MARK H STINES OD 1588669121
DR. RICHARD K BUNGER OD 1184629636
DR. JASON JAMES LANGFORD OD 1043296114
DR. DAWN MICHELLE LANGFORD OD 1639156144
DR. CHADWICK STEVEN HUDNALL OD 1245297860
WILLIAM R ZEIGLER OD 1366493835
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.