DR. George H Hagen, O.D.

NPI #1114019056 in Trinidad, Colorado

Provider Information

NPI Number: 1114019056
Entity Type: Individual
Name: DR. George H Hagen, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 29, 2006
Last Updated: May 8, 2008

Practice Location

Address: 1114 E MAIN ST
City: Trinidad
State: Colorado
ZIP Code: 81082-2034
Phone: (719) 846-7342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Eyewear Supplier	332H00000X

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