Individual
MICHAEL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4360 WASHINGTON BLVD, ATTN CREDENTIALING, OGDEN, UT 84403-1866
(801) 476-0494
(801) 479-3937
Mailing address
4360 WASHINGTON BLVD, ATTN CREDENTIALING, OGDEN, UT 84403-1866
(801) 476-0494
(801) 409-9901
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13000441-1205
UT
207W00000X
Ophthalmology Physician
15234A
WY
207W00000X
Ophthalmology Physician
23619
NV
207W00000X
Ophthalmology Physician
MED-PHYS-LIC-115061
MT
Other
Enumeration date
03/27/2017
Last updated
01/23/2026
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