Bradley Dallas Freestone in Salt Lake City - Vision Therapy
Bradley Dallas Freestone - NPI 1134133960
Bradley Dallas Freestone is a Vision Therapy in Salt Lake City, Utah. Bradley Dallas Freestone practices all healthcare services and medical treatments related to Vision Therapy. 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 |
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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 |
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Provider Enumeration Date | 2006-07-28 |
Last Updated Date | 2012-06-25 |
Provider Mailing Address Detail
Address | 500 Foothill Dr |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841480001 |
Phone Number | 8015821565 |
Fax Number | 8015885817 |
Provider's Primary Taxonomy Detail
Speciality | Vision Therapy |
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Taxonomy | 152Wv0400X |
Licence No | 6255330-9934 |
Definition: Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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D7028 | UT | -- |
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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 Vision Therapy, and it falls under the taxonomy code 152Wv0400X, 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.
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