Organization
CATARACT & LASIK CENTER OF UTAH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE M MONROE MD (DIRECTOR/SURGEON)
(801) 224-6767
Entity
Organization
Contact information
Practice address
1972 W GROVE PKWY STE 200, PLEASANT GROVE, UT 84062-6729
(801) 224-6767
(801) 221-1052
Mailing address
1972 W GROVE PKWY STE 200, PLEASANT GROVE, UT 84062-6729
(801) 224-6767
(801) 221-1052
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2619191205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164613790
FACILITY NPI
UT
01
—
490000734
RAILROAD MEDICARE
UT
Enumeration date
08/08/2007
Last updated
10/05/2022
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