DR. Gregory Brent Hagedorn, OD

NPI #1316905169 in Henderson, Kentucky

Provider Information

NPI Number: 1316905169
Entity Type: Individual
Name: DR. Gregory Brent Hagedorn, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 2, 2006
Last Updated: Jul 22, 2014

Practice Location

Address: 1413 N ELM ST
Address 2: SUITE 102
City: Henderson
State: Kentucky
ZIP Code: 42420-2768
Phone: (270) 826-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X

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