Individual
DR. ROBERT LYNN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12 N 1100 E, AMERICAN FORK, UT 84003-2952
(801) 756-9627
(801) 763-0126
Mailing address
12 N 1100 E, AMERICAN FORK, UT 84003-2952
(801) 756-9627
(801) 763-0126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
114653-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164679
DMBA
UT
05
—
1689633877
—
UT
01
—
275926
ALTIUS
UT
01
—
87028357684003A004
TRICARE
UT
01
—
87688
PEHP
UT
Enumeration date
03/17/2006
Last updated
10/11/2011
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