William Carlan Reese in Salt Lake City - Sports Vision
William Carlan Reese - NPI 1790757110
William Carlan Reese is a Sports Vision in Salt Lake City, Utah. William Carlan Reese practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for William Carlan Reese is 1790757110. The last update date is 2008-06-02.
William Carlan Reese's current location address is 1901 W Parkway Blvd, Salt Lake City, Utah. You can contact this provider via phone number 8018862020 and fax number 8019540054. The mailing address for William Carlan Reese is 1901 W Parkway Blvd, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Carlan Reese |
|---|---|
| Address | 1901 W Parkway Blvd, Salt Lake City, Utah |
| Phone Number | 8018862020 |
| Fax Number | 8019540054 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1790757110 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 1901 W Parkway Blvd |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 84119 |
| Phone Number | 8018862020 |
| Fax Number | 8019540054 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Vision |
|---|---|
| Taxonomy | 152Ws0006X |
| Licence No | 348323-9934 |
|
Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 87017934014001 | UT | BLUE CROSS/BLUE SHIELD | |
| 999000797009 | UT | -- |
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What is the unique 10-digit identifier code issued to William Carlan Reese by the Centers for Medicare & Medicaid Services?
The William Carlan Reese has been assigned the NPI (National Provider Identifier) 1790757110 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where William Carlan Reese's facilities are situated?
The facilities of William Carlan Reese are physically located at the following address: 1901 W Parkway Blvd, Salt Lake City, UT, 84119.
What is William Carlan Reese's area of expertise and its corresponding taxonomy classification?
The William Carlan Reese's field of specialization is Sports Vision, and it falls under the taxonomy code 152Ws0006X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790757110 to William Carlan Reese?
The Centers for Medicare & Medicaid Services originally issued the 1790757110 to William Carlan Reese on 2006-02-02.
As of what date was the information regarding William Carlan Reese, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to William Carlan Reese, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-02.
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