# ST GEORGE EYE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST GEORGE EYE CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073996344
- **Legal business name:** ST GEORGE EYE CENTER
- **Authorized official:** JASON W HENDRIX MD (MANAGING MEMBER)
- **Authorized official phone:** (435) 628-4507

## Contact information

- **Practice address:** 617 E RIVERSIDE DR SUITE 101, ST GEORGE, UT 84790
- **Practice address phone:** (435) 628-4507
- **Practice address fax:** (435) 628-3748
- **Mailing address:** 617 E RIVERSIDE DR STE 101, SAINT GEORGE, UT 84790-8720
- **Mailing address phone:** (435) 628-4507
- **Mailing address fax:** (435) 628-3748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 375881-9934 | UT | — |
| 207W00000X | Ophthalmology Physician | 6160962-1205 | UT | Yes |
| 207W00000X | Ophthalmology Physician | 7154752-1205 | UT | — |

## Other

- **Enumeration date:** 07/06/2015
- **Last updated:** 04/02/2025
