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Organization

EYE CENTER OF EPHRAIM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARIN RAY CUMMINGS O.D. (OWNER)
(435) 283-5555
Entity
Organization

Contact information

Practice address
43 E 450 N, EPHRAIM, UT 84627-4027
(435) 283-5555
(435) 283-8642
Mailing address
43 E 450 N, EPHRAIM, UT 84627-4027
(435) 283-5555
(435) 283-8642

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
284643-9934
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107008974104
SELECT HEALTH
01
20005965601001
REGENCE BCBS - GROUP
UT
01
2004532
UNITED HEALTHCARE
01
328071
ALTIUS
UT
01
DN6778
RAILROAD MEDICARE PTAN
Enumeration date
09/26/2007
Last updated
01/05/2009
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