# WASATCH VIEW EYE AND LASER CLINIC LLC

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

## Provider details

- **NPI number:** 1801127634
- **Authorized official:** DR. JEFFERY L MELLOR OD (MEMBER/DOCTOR)
- **Authorized official phone:** (801) 867-9382

## Contact information

- **Practice address:** 922 BAXTER DR, 110, SOUTH JORDAN, UT 84095-8613
- **Practice address phone:** (801) 542-7024
- **Mailing address:** 922 BAXTER DR, 110, SOUTH JORDAN, UT 84095-8613
- **Mailing address phone:** (801) 542-7024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 328094-9934 | UT | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2010
- **Last updated:** 05/25/2010