Organization
SOUTHEASTERN UTAH EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY OLSON SACCOMANNO OD (PRESIDENT STOCK HOLDER)
(435) 637-2414
Entity
Organization
Contact information
Practice address
54 E 100 N, PRICE, UT 84501
(435) 637-2414
(435) 637-8205
Mailing address
54 E 100 N, PRICE, UT 84501
(435) 637-2414
(435) 637-8205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60582630144
UT
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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