Organization
DIXIE EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT L. CROFT O.D. (PRESIDENT)
(435) 673-3558
Entity
Organization
Contact information
Practice address
301 E TABERNACLE ST, SUITE 100, ST GEORGE, UT 84770-7108
(435) 673-3558
(435) 673-9181
Mailing address
301 E TABERNACLE ST, SUITE 100, ST GEORGE, UT 84770-7108
(435) 673-3558
(435) 673-9181
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
283951-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D5882
—
UT
Enumeration date
12/11/2006
Last updated
08/22/2020
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