Organization
WENDOVER EYE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT M ALLEN OD (OFFICER)
(435) 665-7923
Entity
Organization
Contact information
Practice address
479 E WENDOVER BLVD, WENDOVER, UT 84083
(435) 665-7923
(435) 665-7923
Mailing address
307 N 300 W, SUITE 302, KAYSVILLE, UT 84037-1852
(435) 665-7923
(435) 665-7923
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1138799934
UT
152W00000X
Optometrist
Primary
62579469934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62579469902001
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/14/2006
Last updated
04/20/2008
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