| NPI | 1952464331 |
|---|---|
| Doing Business As | PLEASANT GROVE EYE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRADLEY DALLAS FREESTONE Owner 801-785-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 6255330-9934) |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: UT 6255330-9934) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |