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DR. GREGORY B. HAGEDORN, OD
NPI 1205013547
Eyewear Supplier in Henderson, KY

Active since January 29, 2008
1413 N ELM ST, SUITE 102, HENDERSON, KY 42420(270) 826-1500(270) 827-0757 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory B. Hagedorn, Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY B. HAGEDORN, OD (NPI 1205013547) is a healthcare organization registered as an eyewear supplier in Henderson, Kentucky and active in the NPI registry since January 2008. The organization lists Jan M Rutherford, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205013547
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameDR. GREGORY B. HAGEDORN, OD
Location Address1413 N ELM ST, SUITE 102Henderson, KY 42420-2768
Mailing AddressPo Box 577Henderson, KY 42419-0577 · (270) 826-1500 · Fax (270) 827-0757
Phone(270) 826-1500
Fax(270) 827-0757
Organization SubpartNo
Authorized OfficialJan M RutherfordOffice Manager · (270) 826-1500
Enumeration DateJanuary 29, 2008
Last NPPES UpdateApril 27, 2009
✔ NPI 1205013547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in KY · 1016DT
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
1413 N ELM ST, Henderson, KY 42420
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC0425620001KY

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICARDO BARRIOS MADDELA MD
Surgery
1413 N ELM ST, SUITE 206
HENDERSON, KY 42420
Henderson County (270) 826-9595
DR. MICHAEL V FARINA PH.D.
Psychologist
1413 N ELM ST, SUITE 205
HENDERSON, KY 42420
Henderson County (270) 827-5469
METHODIST HEALTH, INC.
Surgery
1413 N ELM ST, SUITE 204
HENDERSON, KY 42420
Henderson County (270) 830-9973
DR. GREGORY BRENT HAGEDORN OD
Optometrist
1413 N ELM ST, SUITE 102
HENDERSON, KY 42420
Henderson County (270) 826-1500
PAMELA RALEIGH LCSW
Social Worker (Clinical)
1413 N ELM ST, STE 205
HENDERSON, KY 42420
Henderson County (270) 827-5469
ALAN MATTHEW TRIPP D.O.
Surgery
1413 N ELM ST, SUITE 204
HENDERSON, KY 42420
Henderson County (270) 830-9973
RICARDO B MADDELA MD PSC
Surgery
1413 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 826-9595
HENDERSON LAB AND XRAY
Clinic/Center (Radiology)
1413 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 826-6277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Gregory B. Hagedorn, Od's NPI number?

The NPI number for Dr. Gregory B. Hagedorn, Od is 1205013547. It was assigned to this organization in the NPPES registry on January 29, 2008.

Where is Dr. Gregory B. Hagedorn, Od located?

Dr. Gregory B. Hagedorn, Od is located at 1413 N Elm St Suite 102, Henderson, KY 42420. The listed phone number is (270) 826-1500.

What is Dr. Gregory B. Hagedorn, Od's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Dr. Gregory B. Hagedorn, Od was last updated on April 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.