Individual
BRITTANY N. CAPSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
489 W SOUTH JORDAN PARKWAY, SUITE 302, SOUTH JORDAN, UT 84095
(385) 222-2020
Mailing address
7456 S PARKRIDGE CIR, COTTONWOOD HEIGHTS, UT 84121-4834
(612) 308-0679
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14269
CA
152W00000X
Optometrist
Primary
8273555-8908
UT
152WC0802X
Corneal and Contact Management Optometrist
14269
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000076546
MEDICARE PTAN
—
Enumeration date
10/07/2009
Last updated
02/19/2021
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