Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Gregory B. Hagedorn, OD

Organization Eyewear Supplier · NPI 1205013547

Dr Gregory B. Hagedorn, OD is an Eyewear Supplier in Henderson, Kentucky. Licensed in Kentucky. Registered with an NPI since 2008.

Licensed in
KY
In the registry since
2008

Practice location Address checks out

1413 N Elm St Ste 102
Henderson, KY 42420-2768
Phone: (270) 826-1500
Fax: (270) 827-0757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence 1016DT (KY)

Record details

NPI number1205013547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Rutherford — Office Manager · (270) 826-1500
NPI enumeratedJanuary 29, 2008
Last updated in NPPESApril 27, 2009
Mailing addressPo Box 577, Henderson, KY 42419-0577