Organization
JAMESTOWN EYE CARE CENTER LLC
Active
Other names
Vision Institute of Utah
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP ANTHONY PLOTHOW O.D. (DOCTOR)
(801) 373-3337
Entity
Organization
Contact information
Practice address
3651 N 100 E STE 250, PROVO, UT 84604-4518
(801) 373-3337
Mailing address
3651 N 100 E STE 250, PROVO, UT 84604-4518
(801) 373-3337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
UT
332B00000X
Durable Medical Equipment & Medical Supplies
5201910001
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529179327002
—
UT
Enumeration date
12/06/2007
Last updated
10/12/2012
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