Organization
EAST MILLCREEK EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE ANN MCALLISTER OPTICIAN (OWNER)
(801) 485-5820
Entity
Organization
Contact information
Practice address
3203 S 2300 E, SALT LAKE CITY, UT 84109-2703
(801) 485-5820
(801) 485-5830
Mailing address
3203 S 2300 E, SALT LAKE CITY, UT 84109-2703
(801) 485-5820
(801) 485-5830
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
19242
UT
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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