Individual
JASON MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1147 E DRAPER PKWY, DRAPER, UT 84020-9096
(801) 916-9555
Mailing address
1147 E DRAPER PKWY, DRAPER, UT 84020-9096
(714) 334-1664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10650496-9934
UT
152WP0200X
Pediatric Optometrist
10650496-9934
UT
152WS0006X
Sports Vision Optometrist
10650496-9934
UT
152WV0400X
Vision Therapy Optometrist
10650496-9934
UT
Other
Enumeration date
05/19/2017
Last updated
03/07/2018
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