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Organization

RIVERTON FAMILY EYE CARE OPTOMETRY PRACTICE , LLC

Active
Other names
Riverton Family Eye Care, Optometry, Riverton Family Eye Care LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JODIE J JOHNSON OD (DOCTOR/OWNER)
(801) 446-7600
Entity
Organization

Contact information

Practice address
2998 W 12600 S, RIVERTON, UT 84065-7164
(801) 446-7600
(801) 446-0912
Mailing address
2998 W 12600 S, RIVERTON, UT 84065-7164
(801) 446-7600
(801) 446-0912

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
E66160
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
526949225003
UT
Enumeration date
07/18/2007
Last updated
02/11/2020
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