Doctor Specs Od Pc in Pleasant Grove - Low Vision Rehabilitation
Doctor Specs Od Pc - NPI 1952464331
Doctor Specs Od Pc is a Low Vision Rehabilitation in Pleasant Grove, Utah. Doctor Specs Od Pc practices all healthcare services and medical treatments related to Low Vision Rehabilitation. The NPI Number for Doctor Specs Od Pc is 1952464331. The last update date is 2020-08-22.
Doctor Specs Od Pc's current location address is 387 S Main St, Pleasant Grove, Utah. You can contact this provider via phone number 8017857828 and fax number 8017853384. The mailing address for Doctor Specs Od Pc is 387 S Main St, Pleasant Grove, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Doctor Specs Od Pc |
|---|---|
| Address | 387 S Main St, Pleasant Grove, Utah |
| Phone Number | 8017857828 |
| Fax Number | 8017853384 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Freestone Dallas Bradley |
| Credentials | O.D. |
| Telephone Number | 8017857828 |
NPI Number Detail
| NPI Number | 1952464331 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 387 S Main St |
|---|---|
| City | Pleasant Grove |
| State | Utah (UT) |
| Post Code | 840622634 |
| Phone Number | 8017857828 |
| Fax Number | 8017853384 |
Provider's Primary Taxonomy Detail
| Speciality | Low Vision Rehabilitation |
|---|---|
| Taxonomy | 152Wl0500X |
| Licence No | 6255330-9934 |
|
Definition: Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 528274468001 | UT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Doctor Specs Od Pc by the Centers for Medicare & Medicaid Services?
The Doctor Specs Od Pc has been assigned the NPI (National Provider Identifier) 1952464331. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Doctor Specs Od Pc is geographically located?
The Doctor Specs Od Pc is physically situated at the following location: 387 S Main St, Pleasant Grove, UT, 840622634.
What is the Doctor Specs Od Pc's area of specialization and corresponding taxonomy classification?
The Doctor Specs Od Pc's specialty field is Low Vision Rehabilitation, and it falls under the taxonomy code 152Wl0500X, which categorizes healthcare providers based on their specialties.
On what date did the Doctor Specs Od Pc receive its 1952464331 assignment from the Centers for Medicare & Medicaid Services?
The Doctor Specs Od Pc was assigned its 1952464331 by the Centers for Medicare & Medicaid Services on 2006-12-18.
When was the Doctor Specs Od Pc's information last updated?
The Doctor Specs Od Pc's information was last updated on 2020-08-22.