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Organization

CLR VISION PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHAD L RIGTRUP OD (OWNER)
(801) 489-6066
Entity
Organization

Contact information

Practice address
262 EAST 400 SOUTH, SPRINGVILLE, UT 84663-1956
(801) 489-5166
(801) 491-7694
Mailing address
262 EAST 400 SOUTH, SPRINGVILLE, UT 84663-1956
(801) 489-5166
(801) 491-7694

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
59506608908
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
461538993001
UT
Enumeration date
11/21/2007
Last updated
05/22/2008
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