Individual
DR. JOHN HAWES ACKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
736 W 100 S, SUITE #2, HEBER CITY, UT 84032-3739
(435) 657-1212
(435) 657-9522
Mailing address
736 W 100 S, HEBER CITY, UT 84032-3739
(435) 657-1212
(435) 657-9522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4764729-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
4764729-8904
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D5280
—
UT
Enumeration date
07/17/2006
Last updated
03/24/2020
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