MEDICARE: DR. HUNTER COLE SHERLOCK OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT-002843	AZ

General Provider Information

NPI Number	:	1912714056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUNTER COLE SHERLOCK OD

Provider Business Mailing Address
First Line	:	682 N SUN RD
Second Line	:
City	:	APACHE JUNCTION
State	:	AZ
Zip	:	85119-8562
Country	:	US
Telephone Number	:	480-415-4076
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 S IDAHO RD STE 160
Second Line	:
City	:	APACHE JUNCTION
State	:	AZ
Zip	:	85119-2318
Country	:	US
Telephone Number	:	480-982-0241
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2024
Last Update Date	:	12/12/2024

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Directions to “ DR. HUNTER COLE SHERLOCK OD” Practice Location

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