Individual
NEIL J ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
175 N 400 W, OREM, UT 84057-1909
(801) 224-6767
(801) 221-1052
Mailing address
175 N 400 W, OREM, UT 84057-1909
(801) 224-6767
(801) 221-1052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4759492-8904
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447378302
GROUP NPI
UT
01
—
1619077286
NPI
UT
Enumeration date
09/24/2006
Last updated
03/07/2023
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