Individual
DR. MARK A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
128 N MAIN ST, KAYSVILLE, UT 84037-1951
(801) 543-2525
(801) 593-1982
Mailing address
PO BOX 792, KAYSVILLE, UT 84037-0792
(801) 774-8707
(801) 774-8784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
345066-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141851557
MAILHANDLERS
UT
01
—
141851887
PEHP
UT
01
—
14237
RIO GRANDE
TX
01
—
1472285
UNITED MINE WORKERS
UT
01
—
2068338
FIRST HEALTH
UT
01
—
2200211
UNITED HEALTH CARE
UT
01
—
349783
DESERET MUTUAL
UT
01
—
364806
USA MANAGED CARE
UT
01
—
570526286TA1
EDUCATORS MUTUAL
UT
05
—
GRP108096200
—
UT
Enumeration date
06/17/2005
Last updated
01/15/2020
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