IndividualActive
Adam Maddocks, O.D.
NPI 1922478239 · Optometrist · Logan, UT
Provider details
- NPI number
- 1922478239
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 10295884-9934 (UT)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
1150 S 100 W
Logan, UT 84321-5573
Phone: (435) 754-3459
Fax: (435) 787-8498
Approximate (ZIP-level) locationGet directions
Mailing address
1150 S 100 W
Logan, UT 84321-5573
Registry dates
- Enumerated
- 2015-09-29
- Last updated
- 2019-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.