Bradley Dallas Freestone in Salt Lake City - Optometrist
Bradley Dallas Freestone - NPI 1134133960
Bradley Dallas Freestone is a Optometrist in Salt Lake City, Utah. Bradley Dallas Freestone practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Bradley Dallas Freestone is 1134133960. The last update date is 2012-06-25.
Bradley Dallas Freestone's current location address is 500 Foothill Dr, Salt Lake City, Utah. You can contact this provider via phone number 8015821565 and fax number 8015885817. The mailing address for Bradley Dallas Freestone is 500 Foothill Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Dallas Freestone |
|---|---|
| Address | 500 Foothill Dr, Salt Lake City, Utah |
| Phone Number | 8015821565 |
| Fax Number | 8015885817 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1134133960 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2012-06-25 |
Provider Mailing Address Detail
| Address | 500 Foothill Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841480001 |
| Phone Number | 8015821565 |
| Fax Number | 8015885817 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 6255330-8908 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D7028 | UT | -- |
Post Comment/ Review Below
What is the Bradley Dallas Freestone's unique identification number?
The Bradley Dallas Freestone has been assigned the NPI (National Provider Identifier) Number 1134133960 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Bradley Dallas Freestone is geographically located?
The Bradley Dallas Freestone is physically situated at the following location: 500 Foothill Dr, Salt Lake City, UT, 841480001.
What is the Bradley Dallas Freestone's area of specialization and corresponding taxonomy classification?
The Bradley Dallas Freestone's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1134133960 assigned to Bradley Dallas Freestone?
The Bradley Dallas Freestone was issued its 1134133960 on 2006-07-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Bradley Dallas Freestone's details last updated?
The information pertaining to the Bradley Dallas Freestone, including its address, specialty, and other details, was most recently updated on 2012-06-25.
NPI Number: 1972506228
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