Organization
POWDER BASIN EYEPROS LLC
Active
Other names
Powder Basin Eyepros
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN GRANT HAYES OD (OWNER)
(267) 736-6335
Entity
Organization
Contact information
Practice address
2143 N 5500 E, EDEN, UT 84310
(267) 736-6335
Mailing address
4523 N 3150 E, LIBERTY, UT 84310-9799
(267) 736-6335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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