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Organization

WEST VALLEY EYE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT E SMITH M.D. (OWNER)
(801) 965-3636
Entity
Organization

Contact information

Practice address
3725 W 4100 S, WEST VALLEY CITY, UT 84120-5530
(801) 965-3636
(801) 965-3559
Mailing address
3527 WEST 4100 SOUTH, WEST VALLEY CITY, UT 84120-5530
(801) 965-3636
(801) 965-3559

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
359975-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14490
SPECTERA
UT
01
352130
DMBA
UT
05
5283309*93016
UT
01
UT9975
EYE MED
UT
Enumeration date
09/08/2006
Last updated
08/22/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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