Organization
MICHAEL L WEST OD PC
Active
Other names
Union Square Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L WEST OD (PRESIDENT)
(801) 572-3937
Entity
Organization
Contact information
Practice address
650 UNION SQ, SANDY, UT 84070-3403
(801) 572-3937
(801) 572-9849
Mailing address
650 UNION SQ, SANDY, UT 84070-3403
(801) 572-3937
(801) 572-9849
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
111824-9934
UT
332H00000X
Eyewear Supplier
111824-8908
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528765046000
—
UT
Enumeration date
03/11/2010
Last updated
03/11/2010
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