Organization
SOUTHWEST VISION, LLC
Active
Other names
Red Rock Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN E. RABISON (OWNER)
(435) 676-8646
Entity
Organization
Contact information
Practice address
415 E CENTER ST, PANGUITCH, UT 84759-0976
(435) 676-8646
(435) 676-8647
Mailing address
965 E 700 S, SUITE #100, ST GEORGE, UT 84790-4082
(435) 673-5577
(435) 688-0381
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5679342-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528352394017
—
UT
Enumeration date
07/11/2013
Last updated
01/23/2015
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