Organization
DOCTOR SPECS OD PC
Active
Other names
Pleasant Grove Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DALLAS FREESTONE O.D. (OWNER)
(801) 785-7828
Entity
Organization
Contact information
Practice address
387 S MAIN ST, PLEASANT GROVE, UT 84062-2634
(801) 785-7828
(801) 785-3384
Mailing address
387 S MAIN ST, PLEASANT GROVE, UT 84062-2634
(801) 785-7828
(801) 785-3384
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6255330-9934
UT
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
6255330-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528274468001
—
UT
Enumeration date
12/18/2006
Last updated
09/11/2025
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