Department Of Ophthalmology - Pediatric Division in Salt Lake City - Contact Lens
Department Of Ophthalmology - Pediatric Division - NPI 1467497156
Department Of Ophthalmology - Pediatric Division is a Contact Lens in Salt Lake City, Utah. Department Of Ophthalmology - Pediatric Division practices all healthcare services and medical treatments related to Contact Lens. The NPI Number for Department Of Ophthalmology - Pediatric Division is 1467497156. The last update date is 2011-09-20.
Department Of Ophthalmology - Pediatric Division's current location address is 65 Mario Capecchi Dr, Salt Lake City, Utah. You can contact this provider via phone number 8015813195. The mailing address for Department Of Ophthalmology - Pediatric Division is 65 Mario Capecchi Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Department Of Ophthalmology - Pediatric Division |
|---|---|
| Address | 65 Mario Capecchi Dr, Salt Lake City, Utah |
| Phone Number | 8015813195 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DEPARTMENT |
|---|---|
| Authorized Official Name | Olson J Randall |
| Credentials | MD |
| Telephone Number | 8015813195 |
NPI Number Detail
| NPI Number | 1467497156 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2011-09-20 |
Provider Mailing Address Detail
| Address | 65 Mario Capecchi Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841320001 |
| Phone Number | 8015813195 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Contact Lens |
|---|---|
| Taxonomy | 156Fc0800X |
|
Definition: An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100503637 | NV | NEVADA MEDICAID | |
| 122451400 | WY | WYOMING MEDICAID | |
| 806964900 | ID | IDAHO MEDICAID |
Post Comment/ Review Below
What is the unique provider identifier assigned to Department Of Ophthalmology - Pediatric Division?
The Department Of Ophthalmology - Pediatric Division has been issued the NPI (National Provider Identifier) 1467497156 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Department Of Ophthalmology - Pediatric Division's facilities are geographically located?
The facilities of Department Of Ophthalmology - Pediatric Division are physically situated at the following location: 65 Mario Capecchi Dr, Salt Lake City, UT, 841320001.
What is the area of specialization for Department Of Ophthalmology - Pediatric Division, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Department Of Ophthalmology - Pediatric Division is Contact Lens, and the corresponding taxonomy code that categorizes this area of expertise is 156Fc0800X.
When was the Department Of Ophthalmology - Pediatric Division's 1467497156 issued?
The Department Of Ophthalmology - Pediatric Division's 1467497156 was issued on 2006-06-18.
When was the Department Of Ophthalmology - Pediatric Division's information last updated?
The Department Of Ophthalmology - Pediatric Division's information was last updated on 2011-09-20.
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