Organization
MOUNTAIN VIEW EYE CENTER PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSLEY ALLEN (OFFICE MANAGER)
(801) 773-2233
Entity
Organization
Contact information
Practice address
1580 W ANTELOPE DR STE 175, LAYTON, UT 84041-1175
(801) 773-2233
(801) 773-2375
Mailing address
1580 W ANTELOPE DR STE 175, LAYTON, UT 84041-1175
(801) 773-2233
(801) 773-2375
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000055284
MEDICARE PTAN
UT
Enumeration date
10/05/2006
Last updated
05/14/2024
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