is a Eyewear Supplier in Salt Lake City, Utah. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for is 1861444010. The last update date is .
's current location address is 5800 S Redwood Rd, Salt Lake City, Utah. You can contact this provider via phone number 8019641300. The mailing address for is 5800 S Redwood Rd, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 5800 S Redwood Rd, Salt Lake City, Utah |
Phone Number | 8019641300 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1861444010 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 5800 S Redwood Rd |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841235327 |
Phone Number | 8019641300 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Eyewear Supplier |
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Taxonomy | 332H00000X |
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
14085 | VIP | ||
CP2230-49 | EYEMED | ||
UT04882 | UT | NORIDIAN SUBMITTER ID | |
17919 | MEDICARE | ||
410985054-098 | UT | -- | |
42545 | DAVIS |
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