# MOUNTAIN VALLEY EYE INSTITUTE PC

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

## Provider details

- **NPI number:** 1891796140
- **Authorized official:** JOHN B FASSIO MD (PRESIDENT)
- **Authorized official phone:** (435) 615-0435

## Contact information

- **Practice address:** 2700 HOMESTEAD RD, PARK CITY, UT 84098-4857
- **Practice address phone:** (435) 658-3090
- **Practice address fax:** (435) 658-3094
- **Mailing address:** 2700 HOMESTEAD RD, PARK CITY, UT 84098-4857
- **Mailing address phone:** (435) 615-0435
- **Mailing address fax:** (435) 658-3094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 07/21/2022