Organization
EYE PROSTHETICS OF UTAH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD THOMAS CARUSO OCULARIST, BCO, BADO (PRESIDENT/OCULARIST)
(801) 942-1600
Entity
Organization
Contact information
Practice address
7400 UNION PARK AVE, SUITE 102, MIDVALE, UT 84047-6705
(801) 942-1600
(801) 942-1717
Mailing address
7400 UNION PARK AVE, SUITE 102, MIDVALE, UT 84047-6704
(801) 942-1600
(801) 942-1717
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
57403940142
UT
Other
Enumeration date
07/08/2006
Last updated
04/06/2011
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