# MT OGDEN EYE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UTAH EYE CENTERS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740431428
- **Authorized official:** SARAH HOWELL (CREDENTIALING MANAGER)
- **Authorized official phone:** (801) 409-9900

## Contact information

- **Practice address:** 1551 RENAISSANCE TOWNE DR, SUITE 340, BOUNTIFUL, UT 84010-7667
- **Practice address phone:** (801) 409-9900
- **Practice address fax:** (801) 409-9901
- **Mailing address:** PO BOX 30015, DEPT 93, SALT LAKE CITY, UT 84130-0015
- **Mailing address phone:** (801) 409-9900
- **Mailing address fax:** (801) 409-9901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 176195-1205 | UT | Yes |
| 332H00000X | Eyewear Supplier | 2012-42863 | UT | — |

## Other

- **Enumeration date:** 10/01/2008
- **Last updated:** 04/10/2013