Individual
DR. JILL LYNN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2700 HOMESTEAD RD STE 30, PARK CITY, UT 84098-4874
(435) 615-0435
(435) 604-0261
Mailing address
2700 W HOMESTEAD ROAD, SUITE 30, PARK CITY, UT 84098
(435) 615-0435
(435) 604-0261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
105610199934
UT
152W00000X
Optometrist
2555
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189694722
—
AR
01
—
49941
BCBS
AR
Enumeration date
08/30/2006
Last updated
02/21/2018
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