Organization
SUGARHOUSE VISION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD KIMBALL O.D. (PRESIDENT)
(801) 484-2020
Entity
Organization
Contact information
Practice address
2178 S 900 E STE 4, SALT LAKE CITY, UT 84106-2388
(801) 484-2020
(801) 466-2865
Mailing address
2178 S 900 E STE 4, SALT LAKE CITY, UT 84106-2388
(801) 484-2020
(801) 466-2865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1932292281
UT
Other
Enumeration date
06/05/2007
Last updated
06/14/2016
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