Organization
BRIAN R. WHITNEY, OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RICHARD WHITNEY OD (OWNER)
(435) 586-9949
Entity
Organization
Contact information
Practice address
66 W HARDING AVE, CEDAR CITY, UT 84720-2695
(435) 586-9949
(435) 865-0388
Mailing address
PO BOX 988, CEDAR CITY, UT 84721-0988
(435) 586-9949
(435) 865-0388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1134229934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529115662001
—
UT
01
—
59211566202001
BLUE CROSS BLUE SHIELD
UT
01
—
P00314487
MEDICARE RAILROAD
UT
Enumeration date
01/03/2008
Last updated
12/01/2008
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