Organization
MT OGDEN EYE CENTER LLC
Active
Other names
UTAH EYE CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH HOWELL (CREDENTIALING MANAGER)
(801) 409-9900
Entity
Organization
Contact information
Practice address
4360 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 476-0494
(801) 476-0067
Mailing address
4360 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 476-0494
(801) 476-0067
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
02/09/2007
Last updated
09/12/2013
Update your record
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