Individual
DR. GREGORY BRENT HAGEDORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1413 N ELM ST, SUITE 102, HENDERSON, KY 42420-2768
(270) 826-1500
(270) 827-0757
Mailing address
PO BOX 577, HENDERSON, KY 42419-0577
(270) 826-1500
(270) 827-0757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1016DT
KY
152WC0802X
Corneal and Contact Management Optometrist
1016DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77010163
—
KY
Enumeration date
05/02/2006
Last updated
07/22/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us