Derek Luke Maddox, OD
NPI #1992315196 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1992315196
- Entity Type
- Individual
- Name
- Derek Luke Maddox, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Aug 3, 2020
- Last Updated
- Dec 14, 2023
Practice Location
- Address
- 3540 PRAIRIEVIEW ST
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803
- Phone
- (308) 384-6922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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