Organization
DR. JEFFREY TIPTON OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY TIPTON (PRESIDENT)
(801) 728-4569
Entity
Organization
Contact information
Practice address
1055 W HILL FIELD RD, LAYTON, UT 84041-4614
(801) 510-1541
Mailing address
3162 W 1100 N, WEST POINT, UT 84015-7571
(801) 728-4569
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
348415-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529080999001
—
UT
Enumeration date
10/25/2010
Last updated
01/03/2011
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