Individual
DR. JEREMIAH V CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
875 COUNTRY HILLS DR, OGDEN, UT 84403-2200
(801) 399-1149
Mailing address
1493 E RIDGELINE DR STE 100, SOUTH OGDEN, UT 84405-4947
(801) 399-1149
(801) 399-0248
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5596291-9934
UT
207W00000X
Ophthalmology Physician
5596291-9934
UT
Other
Enumeration date
08/20/2012
Last updated
10/09/2025
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