Individual
SOLOMON CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
209 N STATE ST, OREM, UT 84057-4745
(801) 224-4799
(801) 434-4051
Mailing address
742 N 530 E, OREM, UT 84097-4104
(801) 224-4799
(801) 434-4051
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8706878-9934
UT
152W00000X
Optometrist
NV 759
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033457494
—
UT
Enumeration date
01/19/2013
Last updated
01/05/2021
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