Organization
SOUTHERN UTAH EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL M MILLER OD (VP)
(435) 673-3201
Entity
Organization
Contact information
Practice address
10 DIAGONAL ST, STE 101, ST GEORGE, UT 84770-2878
(435) 673-3201
(435) 673-3225
Mailing address
10 DIAGONAL ST, STE 101, ST GEORGE, UT 84770-2878
(435) 673-3201
(435) 673-3225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
91113354
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528942447004
—
UT
05
—
529069554007
—
UT
Enumeration date
04/15/2008
Last updated
12/27/2012
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