Abundo Eye Care Llc

LBN: Abundo Eye Care Llc
Abundo Eye Care Llc is an health care organization with primary practice located at 579 Fort Union Blvd , Midvale UT 84047-2213. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Abundo Eye Care Llc can be contacted via phone (801) 255-8500, or through Abundo, Roland Espeleta via phone (801) 255-8500.

Contact Information

Primary practice address
579 Fort Union Blvd Midvale UT 84047-2213
Phone: (801) 255-8500
Fax: (801) 255-2334
Website:
Map and Directions
Authorized official contact:
Name: Abundo, Roland Espeleta Doctor of Optometry (OD)
Phone: (801) 255-8500

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3097889934 Utah

Profile Details

NPI number 1700022688
LBN Legal business name Abundo Eye Care Llc
DBA Doing business as
Authorized official Abundo, Roland Espeleta Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2008
Last updated Dec 29th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700022688 NPPES
Utah MEDICAID 5700550715003

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