Organization
TRUE VISION SURGICAL SUITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TILLIE ANDRADE (CREDENTIALING SPECIALIST)
(702) 449-9173
Entity
Organization
Contact information
Practice address
1493 E RIDGELINE DR, SOUTH OGDEN, UT 84405-4947
(801) 399-1149
Mailing address
1493 E RIDGELINE DR, SOUTH OGDEN, UT 84405-4947
(801) 399-1149
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
07/16/2025
Last updated
08/26/2025
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