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Organization
MT OGDEN EYE CENTER LLC
Active
Organization
MT OGDEN EYE CENTER LLC
Active
Other names
UTAH EYE CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH HOWELL (CREDENTIALING MANAGER)
(801) 409-9900
Entity
Organization
Contact information
Practice address
4360 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 476-0494
(801) 476-0067
Mailing address
4360 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 476-0494
(801) 476-0067
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
NULL
Other
Enumeration date
02/09/2007
Last updated
09/12/2013
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