# GLAUKOM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarus Vision Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518307909
- **Authorized official:** GREGORY CHRISTIANSEN 8018928222 (OWNER)
- **Authorized official phone:** (801) 892-8222

## Contact information

- **Practice address:** 6344 S 900 E, SALT LAKE CITY, UT 84121-2439
- **Practice address phone:** (801) 892-8222
- **Practice address fax:** (801) 904-3436
- **Mailing address:** 6344 S 900 E, SALT LAKE CITY, UT 84121-2439
- **Mailing address phone:** (801) 892-8222
- **Mailing address fax:** (801) 904-3436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 73669439934 | UT | — |
| 207W00000X | Ophthalmology Physician | 73837368905 | UT | Yes |

## Other

- **Enumeration date:** 06/28/2013
- **Last updated:** 02/25/2015