Bountiful Eye Care Pc in Bountiful - Optometrist
Bountiful Eye Care Pc - NPI 1396925269
Bountiful Eye Care Pc is a Optometrist in Bountiful, Utah. Bountiful Eye Care Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Bountiful Eye Care Pc is 1396925269. The last update date is 2011-02-28.
Bountiful Eye Care Pc's current location address is 140 S Main St, Bountiful, Utah. You can contact this provider via phone number 8012952020 and fax number 8012928761. The mailing address for Bountiful Eye Care Pc is 140 S Main St, Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bountiful Eye Care Pc |
|---|---|
| Address | 140 S Main St, Bountiful, Utah |
| Phone Number | 8012952020 |
| Fax Number | 8012928761 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wilkes Murray Robert |
| Credentials | O.D. |
| Telephone Number | 8012952020 |
NPI Number Detail
| NPI Number | 1396925269 |
|---|---|
| Provider Enumeration Date | 2007-11-08 |
| Last Updated Date | 2011-02-28 |
Provider Mailing Address Detail
| Address | 140 S Main St |
|---|---|
| City | Bountiful |
| State | Utah (UT) |
| Post Code | 840106234 |
| Phone Number | 8012952020 |
| Fax Number | 8012928761 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 98-358145-99 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 870635456009 | UT | -- |
Post Comment/ Review Below
What is the Bountiful Eye Care Pc's unique identification number?
The Bountiful Eye Care Pc has been assigned the NPI (National Provider Identifier) Number 1396925269 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Bountiful Eye Care Pc is physically located?
The Bountiful Eye Care Pc is physically situated at the following address: 140 S Main St, Bountiful, UT, 840106234.
What is the Bountiful Eye Care Pc's specialty and taxonomy code?
The Bountiful Eye Care Pc's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
When was the Bountiful Eye Care Pc's 1396925269 issued?
The Bountiful Eye Care Pc's 1396925269 was issued on 2007-11-08.
When was the information related to Bountiful Eye Care Pc most recently updated or refreshed?
The details pertaining to the Bountiful Eye Care Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-02-28.