Organization
JED C WINDER OD, PC
Active
Other names
Tooele Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JED C WINDER OD (OWNER)
(435) 882-3233
Entity
Organization
Contact information
Practice address
300 S MAIN ST, TOOELE, UT 84074-2746
(435) 882-3233
(435) 882-1626
Mailing address
300 S MAIN ST, TOOELE, UT 84074-2746
(435) 882-3233
(435) 882-1626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5354338-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528869987001
—
UT
05
—
529296615001
—
UT
Enumeration date
11/01/2006
Last updated
03/20/2008
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