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Organization

THE EYE INSTITUTE OF UTAH

Active
Parent organization
THE EYE INSTITUTE OF UTAH
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE EYE INSTITUTE OF UTAH
Authorized official
KEVIN H MERKLEY M.D. (VICE PRESIDENT)
(801) 266-2283
Entity
Organization

Contact information

Practice address
2631 FOOTHILL BLVD, SUITE A, ROCK SPRINGS, WY 82901-4771
(307) 362-4202
(307) 362-4332
Mailing address
755 E 3900 S, SALT LAKE CITY, UT 84107-2105
(801) 266-2283
(801) 268-6151

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
205-13
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108096203
WY
Enumeration date
01/04/2008
Last updated
01/04/2008
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