Organization
LAYTON VISUAL CENTER
Active
Other names
Layton Visual Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENMARK RAY JENSEN O.D. (OWNER)
(801) 546-2481
Entity
Organization
Contact information
Practice address
180 WEST GORDON AVE, LAYTON, UT 84041
(801) 546-2481
(801) 546-2483
Mailing address
180 WEST GORDON AVE, LAYTON, UT 84041
(801) 546-2481
(801) 546-2483
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
108553-8908
UT
152WP0200X
Pediatric Optometrist
Primary
108553-8908
UT
152WS0006X
Sports Vision Optometrist
108553-8908
UT
152WX0102X
Occupational Vision Optometrist
108553-8908
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529461401004
—
UT
Enumeration date
06/09/2007
Last updated
02/13/2013
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