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NPI 1578648564

IndividualActive

Brent Hadlock, O.D.

NPI 1578648564 · Optometrist · Orem, UT

Provider details

NPI number: 1578648564
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: No
License: 110079-9934 (UT)

Practice location

1448 S State St

Orem, UT 84097-7704

Phone: (801) 224-0451

Fax: (801) 224-0452

More UT providers

Mailing address

1448 S State St

Orem, UT 84097-7704

Registry dates

Enumerated: 2006-10-26
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brent Hadlock, O.D. — NPI 1578648564, Orem, UT | NPI Central