Organization
CLR VISION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD L RIGTRUP OD (OWNER)
(801) 374-2227
Entity
Organization
Contact information
Practice address
1675 N 200 W #11A, PROVO, UT 84604-2570
(801) 374-2227
(801) 374-5197
Mailing address
1675 N 200 W #11A, PROVO, UT 84604-2570
(801) 374-2227
(801) 374-5197
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5950660-9943
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461538993001
—
UT
Enumeration date
04/23/2008
Last updated
04/23/2008
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