Dr. Gregory B. Hagedorn, Od

NPI #1912271255 in Henderson, Kentucky

Provider Information

NPI Number: 1912271255
Entity Type: Organization
Organization Name: Dr. Gregory B. Hagedorn, Od
Primary Specialty: Optometrist
Enumeration Date: Mar 5, 2012
Last Updated: Mar 5, 2012

Practice Location

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

Authorized Official

Name: DR. GREGORY BRENT HAGEDORN, OD
Title: DOCTOR
Phone: (270) 826-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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