Organization
UTAH VISION DEVELOPMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARROD DAVIES OD (OPTOMETRIST)
(801) 810-1060
Entity
Organization
Contact information
Practice address
3672 W SOUTH JORDAN PKWY, STE 103, SOUTH JORDAN, UT 84009-7171
(801) 810-1060
Mailing address
3672 W SOUTH JORDAN PKWY, STE 103, SOUTH JORDAN, UT 84009-7171
(801) 810-1060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7383319-9934
UT
152WS0006X
Sports Vision Optometrist
7383319-9934
UT
152WV0400X
Vision Therapy Optometrist
7383319-9934
UT
Other
Enumeration date
02/16/2011
Last updated
06/02/2020
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