Organization
RETINA ASSOCIATES OF UTAH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA FOOTE (HR)
(801) 312-2020
Entity
Organization
Contact information
Practice address
5169 COTTONWOOD ST STE 630, SALT LAKE CITY, UT 84107-6771
(801) 281-3030
(801) 281-3033
Mailing address
5169 S COTTONWOOD ST STE 630, SALT LAKE CITY, UT 84107-6771
(801) 312-2020
(801) 312-2022
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
UT
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS8665
RAILROAD MEDICARE
—
Enumeration date
04/03/2007
Last updated
04/21/2026
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