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Organization
EYE PROSTHETICS OF UTAH, INC.
Active
Organization
EYE PROSTHETICS OF UTAH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD THOMAS CARUSO OCULARIST, BCO, BADO (PRESIDENT/OCULARIST)
(801) 942-1600
Entity
Organization
Contact information
Practice address
7400 UNION PARK AVE, SUITE 102, MIDVALE, UT 84047-6705
(801) 942-1600
(801) 942-1717
Mailing address
7400 UNION PARK AVE, SUITE 102, MIDVALE, UT 84047-6704
(801) 942-1600
(801) 942-1717
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
57403940142
UT
Other
Enumeration date
07/08/2006
Last updated
04/06/2011
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