# RETINA AND VITREOUS SURGEONS OF UTAH INC

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

## Provider details

- **NPI number:** 1528186954
- **Authorized official:** JOHN ALAN CARVER MD (PRESIDENT OR CEO)
- **Authorized official phone:** (801) 357-7704

## Contact information

- **Practice address:** 1055 N 300 W, SUITE 210, PROVO, UT 84604-3344
- **Practice address phone:** (801) 357-7704
- **Practice address fax:** (801) 357-7424
- **Mailing address:** 1055 N 300 W, SUITE 210, PROVO, UT 84604-3344
- **Mailing address phone:** (801) 357-7704
- **Mailing address fax:** (801) 357-7424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 165213-1205 | UT | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 04/28/2008
