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

NPI Status: Active since January 29, 2008

Contact Information

1413 N ELM ST
SUITE 102
HENDERSON, KY
ZIP 42420
Phone: (270) 826-1500
Fax: (270) 827-0757

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  • Organization
  • Eyewear Supplier

About DR. GREGORY B. HAGEDORN, OD

This page provides the complete NPI Profile along with additional information for Dr. Gregory B. Hagedorn, Od, a provider established in Henderson, Kentucky operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1205013547 assigned on January 2008. The practitioner's primary taxonomy code is 332H00000X with license number 1016DT (KY). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mrs. Jan M Rutherford (Office Manager)

NPI
1205013547
Provider Name
DR. GREGORY B. HAGEDORN, OD
Entity Type
Organization
Location Address
1413 N ELM ST SUITE 102 HENDERSON, KY 42420
Location Phone
(270) 826-1500
Location Fax
(270) 827-0757
Mailing Address
PO BOX 577 HENDERSON, KY 42419
Mailing Phone
(270) 826-1500
Mailing Fax
(270) 827-0757
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2008
Last Update Date
04-27-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
1016DT
License State
KY
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JAN M RUTHERFORD

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(270) 826-1500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0425620001MEDICARE NSC (07)KY 

Reviews for DR. GREGORY B. HAGEDORN, OD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205013547
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220501658
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 0 + 1 + 6 + 5 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1205013547 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053426163 RICARDO BARRIOS MADDELA MD
Individual
Surgery1413 N ELM ST SUITE 206
HENDERSON, KY 42420
(270) 826-9595
1780898239DR. RANDALL SIMPSON BROWN M.D.
Individual
Family Medicine1413 N ELM ST SUITE 204
HENDERSON, KY 42420
(270) 826-2102
1912175803DEACONESS HOSPITAL, INC
Organization
Family Medicine1413 N ELM ST STE 106
HENDERSON, KY 42420
(270) 827-0064
1750552493JOHN MCCLELLAN
Organization
Family Medicine1413 N ELM ST
HENDERSON, KY 42420
(812) 464-0521
1578739132HENDERSON LAB AND XRAY
Organization
Clinic/Center (Radiology)1413 N ELM ST
HENDERSON, KY 42420
(270) 826-6277
1669648226HENDERSON LAB AND XRAY
Organization
Clinical Medical Laboratory1413 N ELM ST
HENDERSON, KY 42420
(270) 826-6277
1609000165RADHIKA INC
Organization
Clinical Medical Laboratory1413 N ELM ST
HENDERSON, KY 42420
(270) 826-6277
1508168972RICARDO B MADDELA MD PSC
Organization
Surgery1413 N ELM ST
HENDERSON, KY 42420
(270) 826-9595
1912271255DR. GREGORY B. HAGEDORN, OD
Organization
Optometrist1413 N ELM ST SUITE 102
HENDERSON, KY 42420
(270) 826-1500
1316905169DR. GREGORY BRENT HAGEDORN OD
Individual
Optometrist1413 N ELM ST SUITE 102
HENDERSON, KY 42420
(270) 826-1500
1346631603 PAMELA RALEIGH LCSW
Individual
Social Worker (Clinical)1413 N ELM ST STE 205
HENDERSON, KY 42420
(270) 827-5469
1659389294DR. ARMANDO C SANDOVAL M.D.
Individual
Family Medicine1413 N ELM ST SUITE 101
HENDERSON, KY 42420
(270) 827-9803
1396829925 ALAN MATTHEW TRIPP D.O.
Individual
Surgery1413 N ELM ST SUITE 204
HENDERSON, KY 42420
(270) 830-9973
1245384403DR. MICHAEL V FARINA PH.D.
Individual
Psychologist1413 N ELM ST SUITE 205
HENDERSON, KY 42420
(270) 827-5469
1245547892METHODIST HEALTH, INC.
Organization
Surgery1413 N ELM ST SUITE 204
HENDERSON, KY 42420
(270) 830-9973
1780178723 EMMA MARTZ DO
Individual
Family Medicine1413 N ELM ST
HENDERSON, KY 42420
(270) 827-8662
1639665433 MYRIAN NOELLA VINAN VEGA MD
Individual
Internal Medicine (Pulmonary Disease)1413 N ELM ST
HENDERSON, KY 42420
(270) 561-0202
1831996222DEACONESS SPECIALTY PHYSICIANS INC
Organization
Internal Medicine (Nephrology)1413 N ELM ST
HENDERSON, KY 42420
(270) 831-7937

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205013547, enumerated in the NPI registry as an "organization" on January 29, 2008

The provider is located at 1413 N Elm St Suite 102 Henderson, Ky 42420 and the phone number is (270) 826-1500

This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 29, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.