Organization
THE CHILDREN'S VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA O'BRIEN OD (OWNER)
(435) 429-1686
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DR STE 120, ST GEORGE, UT 84790-4493
(435) 429-1686
Mailing address
1038 S WHITE SANDS DR, WASHINGTON, UT 84780-8202
(435) 429-1686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
Primary
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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