Organization
BOUNTIFUL VISION PLAZA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R SMITH OD (OWNER PRESIDENT)
(801) 295-4441
Entity
Organization
Contact information
Practice address
311 E 500 S, BOUNTIFUL, UT 84010-4924
(801) 295-4441
(801) 294-5416
Mailing address
311 E 500 S, BOUNTIFUL, UT 84010-4924
(801) 295-4441
(801) 294-5416
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1128829934
UT
Other
Enumeration date
11/16/2006
Last updated
10/08/2010
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