# UNIVERSITY OF UTAH PEDIATRIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF UTAH PEDIATRIC SERVICES
- **Other names:** Pediatric Ophthalmology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740644301
- **Legal business name:** UNIVERSITY OF UTAH PEDIATRIC SERVICES
- **Authorized official:** DR. SAMUEL FINLAYSON MD (CHIEF CLINICAL OFFICER)
- **Authorized official phone:** (801) 587-6336

## Contact information

- **Practice address:** 100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
- **Practice address phone:** (801) 587-6336
- **Mailing address:** PO BOX 841450, LOS ANGELES, CA 90084-1450
- **Mailing address phone:** (801) 213-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WP0200X | Pediatric Optometrist | — | NULL | — |
| 152WP0200X | Pediatric Optometrist | — | — | — |
| 156FC0800X | Contact Lens Technician/Technologist | — | NULL | — |
| 156FC0800X | Contact Lens Technician/Technologist | — | — | — |
| 156FC0801X | Contact Lens Fitter | — | NULL | — |
| 156FC0801X | Contact Lens Fitter | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2016
- **Last updated:** 01/22/2021