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Organization

OPTOMETRIC PHYSICIANS LLC

Active
Other names
Pleasant Grove Office Sub-Part
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN JAY FROMM O.D. (MANAGER)
(801) 796-1054
Entity
Organization

Contact information

Practice address
238 E STATE RD, SUITE 4, PLEASANT GROVE, UT 84062-3620
(801) 796-1054
(801) 796-1084
Mailing address
238 E STATE RD, SUITE 4, PLEASANT GROVE, UT 84062-3620
(801) 796-1054
(801) 796-1084

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
375345-9934
UT

Other

Enumeration date
05/22/2007
Last updated
08/22/2020
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