Individual
DR. JEFF H SEEHOLZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D,
Contact information
Practice address
124 N MAIN ST, LOGAN, UT 84321-4526
(435) 752-5334
(435) 752-5349
Mailing address
124 N MAIN ST, LOGAN, UT 84321-4526
(435) 752-5334
(435) 752-5349
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
112925-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
112925-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0523110001
MEDICARE DME
UT
Enumeration date
01/06/2007
Last updated
12/10/2010
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