Organization
ABUNDO EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND ESPELETA ABUNDO O.D. (OPTOMETRIST)
(801) 255-8500
Entity
Organization
Contact information
Practice address
579 FORT UNION BLVD, MIDVALE, UT 84047-2213
(801) 255-8500
(801) 255-2334
Mailing address
579 FORT UNION BLVD, MIDVALE, UT 84047-2213
(801) 255-8500
(801) 255-2334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3097889934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5700550715003
—
UT
Enumeration date
12/26/2008
Last updated
12/29/2008
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