Organization
MIND 1ST USA LLC
Active
Other names
Ogden Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN ANDRES VALENZUELA (OWNER)
(801) 803-6434
Entity
Organization
Contact information
Practice address
2507 MADISON AVE, OGDEN, UT 84401-2500
(801) 803-6434
(801) 807-8003
Mailing address
2507 MADISON AVE, OGDEN, UT 84401-2500
(801) 803-6434
(801) 807-8003
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/21/2013
Last updated
11/15/2013
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