Organization
BRENT L. HADLOCK, OD, PC
Active
Other names
Pearle Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT L HADLOCK O.D. (PRESIDENT)
(801) 224-0451
Entity
Organization
Contact information
Practice address
1448 S STATE ST, OREM, UT 84097-7704
(801) 224-0451
(801) 224-0452
Mailing address
1448 S STATE ST, OREM, UT 84097-7704
(801) 224-0451
(801) 224-0452
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
110079-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519526886017
—
UT
Enumeration date
03/26/2007
Last updated
08/22/2020
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