ADAM HICKENBOTHAM, OD
Optometrist · PROVO, UT
Individual Active NPI 1063462778
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Optometrist | 152W00000X | ✓ | 11993238-9934 | UT |
| Optometrist | 152W00000X | 2028DT | KY | |
| Optometrist | 152W00000X | OPT 12423 TPA | CA |
Medicare eligibility
- Part B
- No
- DME
- Yes
- Home health
- No
- Power mobility
- No
- Hospice
- No
Other Optometrist providers in Utah
- NPI 1144372582
- NPI 1811329923
- NPI 1053848572
- NPI 1356032205
- NPI 1871581652
- NPI 1821109059
- NPI 1235304064
- NPI 1427087741
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.