Provider Profile

Adam L. Hickenbotham, OD

Unclaimed Profile

About Dr. Hickenbotham

Adam L. Hickenbotham, OD is an optometrist practicing in Provo, UT. This provider record is associated with NPI 1063462778.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Optometrist (Primary)

Credentials & Licensing

UT licenceAs reported to the NPI registry
No. 11993238-9934As reported
CA licenceAs reported to the NPI registry
No. OPT 12423 TPAAs reported
KY licenceAs reported to the NPI registry
No. 2028DTAs reported
NPINational Provider Identifier
1063462778Issued 2006

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Dr. Hickenbotham?

Dr. Hickenbotham is an optometrist in Provo, UT. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Dr. Hickenbotham's address?

Dr. Hickenbotham is listed at 122 E 1700 S Bldg 3, Provo, UT 84606. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Dr. Hickenbotham?

The number on file is (385) 248-5550. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Hickenbotham's NPI number?

Dr. Hickenbotham's National Provider Identifier is 1063462778. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Hickenbotham been practicing?

Dr. Hickenbotham has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Hickenbotham confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Hickenbotham. If this is you, claiming it is free.

Guide.md

Guide.md listings do not constitute medical advice or an endorsement.