Organization
EYE CLINIC & CONTACT LENS CENTER OF UTAH VALLEY PC
Active
Other names
Eye Clinic & Aesthetics of Provo, Eye Clinic and Aesthetics of Provo
Organization subpart
No
Provider details
NPI number
Authorized official
TODD J LEWIS (OWNER)
(801) 373-4550
Entity
Organization
Contact information
Practice address
2230 N UNIVERSITY PKWY STE 10A, PROVO, UT 84604-1594
(801) 373-4550
Mailing address
2230 N UNIVERSITY PKWY STE 10A, PROVO, UT 84604-1594
(801) 373-4550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
109118-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519502484001
—
UT
Enumeration date
09/26/2007
Last updated
02/26/2026
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