Organization
AMERICAN FORK VISION CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNNA M PAXMAN (BILLING MANAGER)
(801) 756-7996
Entity
Organization
Contact information
Practice address
24 W MAIN ST, AMERICAN FORK, UT 84003-2318
(801) 756-7996
Mailing address
24 W MAIN ST, AMERICAN FORK, UT 84003-2318
(801) 756-7996
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152W00000X
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528111273016
—
UT
Enumeration date
04/11/2007
Last updated
12/13/2019
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