Organization
EYE SITE OF FARMINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHELLE NICKLE O.D. (OPTOMETRIST/OWNER)
(801) 447-4393
Entity
Organization
Contact information
Practice address
57 N MAIN ST, FARMINGTON, UT 84025-3517
(801) 447-4393
(801) 447-8230
Mailing address
PO BOX 942, FARMINGTON, UT 84025-0942
(801) 447-4393
(801) 447-8230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
375826-9934
UT
Other
Enumeration date
02/23/2010
Last updated
02/22/2011
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