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Organization
KERRY A OKELBERRY O D P C
Active
Organization
KERRY A OKELBERRY O D P C
Active
Other names
Redwood Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY A. OKELBERRY O.D. (PRESIDENT)
(801) 268-0866
Entity
Organization
Contact information
Practice address
6705 REDWOOD RD, WEST JORDAN, UT 84084-2402
(801) 268-0866
(801) 268-2092
Mailing address
6705 REDWOOD RD, WEST JORDAN, UT 84084-2402
(801) 268-0866
(801) 268-2092
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1125139934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528904440008
—
UT
01
—
DR3610
RETIRED RAILROAD MEDICARE
UT
Enumeration date
10/04/2006
Last updated
02/05/2014
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