Individual
DR. JEFFREY TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
20 W 7200 S, MIDVALE, UT 84047-3723
(801) 561-1300
Mailing address
242 BLUEJAY DR, COLUMBUS, OH 43235-4606
(808) 636-1806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14221804-9934
UT
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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