Organization
VISION SOURCE OF SOUTH OGDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN WHIPPLE OD (PRESIDENT)
(801) 731-5558
Entity
Organization
Contact information
Practice address
5331 ADAMS AVE PKWY STE B, OGDEN, UT 84405-4755
(801) 479-7850
Mailing address
1741 N 2000 W STE 7, FARR WEST, UT 84404-9811
(801) 643-1001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
07/12/2022
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