# EYE PROSTHETICS OF UTAH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366475154
- **Authorized official:** MR. RICHARD THOMAS CARUSO OCULARIST, BCO, BADO (PRESIDENT/OCULARIST)
- **Authorized official phone:** (801) 942-1600

## Contact information

- **Practice address:** 7400 UNION PARK AVE, SUITE 102, MIDVALE, UT 84047-6705
- **Practice address phone:** (801) 942-1600
- **Practice address fax:** (801) 942-1717
- **Mailing address:** 7400 UNION PARK AVE, SUITE 102, MIDVALE, UT 84047-6704
- **Mailing address phone:** (801) 942-1600
- **Mailing address fax:** (801) 942-1717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | 57403940142 | UT | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 04/06/2011