Provider Profile
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.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
122 E 1700 S BLDG 3
Provo, UT 84606
970 S Emery St
Salt Lake City, UT 84104
Dr. Hickenbotham is an optometrist in Provo, UT. That is the designation recorded for this NPI in the federal registry.
NPI registry
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
The number on file is (385) 248-5550. Contact the office directly to confirm availability and scheduling.
NPI registry
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
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
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
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