Organization
UTAH VALLEY EYE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CLAYTON (ADMINISTRATOR)
(801) 357-7373
Entity
Organization
Contact information
Practice address
1055 N 300 W STE 204, PROVO, UT 84604-3374
(801) 357-7373
(801) 357-7217
Mailing address
1055 N 300 W STE 204, PROVO, UT 84604-3374
(801) 357-7373
(801) 357-7217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1109409934
UT
152W00000X
Optometrist
1131489934
UT
174400000X
Specialist
Primary
1550231205
UT
174400000X
Specialist
1709201205
UT
174400000X
Specialist
1827901205
UT
174400000X
Specialist
49624391205
UT
174400000X
Specialist
72173901205
UT
Other
Enumeration date
04/04/2011
Last updated
09/29/2011
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