Organization
PROGRESSIVE EYE CARE, LLC
Active
Parent organization
PROGRESSIVE EYE CARE, LLC
Other names
Classic Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGRESSIVE EYE CARE, LLC
Authorized official
JEFFREY L BROADHEAD OD (MANAGING MEMBER)
(801) 676-2020
Entity
Organization
Contact information
Practice address
192 E 4500 S, MURRAY, UT 84107-2628
(801) 261-2020
(801) 261-2052
Mailing address
192 E 4500 S, MURRAY, UT 84107-2628
(801) 261-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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