Provider Demographics
NPI:1912714056
Name:SHERLOCK, HUNTER COLE (OD)
Entity type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:COLE
Last Name:SHERLOCK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:682 N SUN RD
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85119-8562
Mailing Address - Country:US
Mailing Address - Phone:480-415-4076
Mailing Address - Fax:
Practice Address - Street 1:110 S IDAHO RD STE 160
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85119-2318
Practice Address - Country:US
Practice Address - Phone:480-982-0241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOPT-002843152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist