Organization
LOGAN RIVER EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MILLER (OPTOMETRIST)
(435) 754-3459
Entity
Organization
Contact information
Practice address
1150 S 100 W, LOGAN, UT 84321-5573
(435) 754-3459
Mailing address
1150 S 100 W, LOGAN, UT 84321-5573
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7532862-9934
UT
Other
Enumeration date
04/13/2016
Last updated
08/03/2016
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