is a Eyewear Supplier in Sandy, Utah. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for is 1346292505. The last update date is .
's current location address is 2165 E 9400 S, Sandy, Utah. You can contact this provider via phone number 8019427171. The mailing address for is 2165 E 9400 S, Sandy, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2165 E 9400 S, Sandy, Utah |
| Phone Number | 8019427171 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1346292505 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2165 E 9400 S |
|---|---|
| City | Sandy |
| State | Utah (UT) |
| Post Code | 840933201 |
| Phone Number | 8019427171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| 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 |
|---|---|---|---|
| 14083 | VIP | ||
| CP2230-51 | EYEMED | ||
| 410985054-071 | UT | -- | |
| UT04886 | UT | NORIDIAN SUBMITTER ID | |
| 42541 | DAVIS | ||
| 17917 | MEDICARE |
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