Avila, Michele Rena

Avila, Michele Rena is an individual health care provider with primary practice located at 11820 S State St Suite 200, Draper UT 84020-7133. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Avila, Michele Rena can be contacted via phone (801) 568-0200.

Contact Information

Primary practice address
11820 S State St Suite 200 Draper UT 84020-7133
Phone: (801) 568-0200
Fax: (801) 563-0200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1861 Kansas
Eye and Vision Services Providers / Optometrist 152W00000X 2594 Oklahoma
Eye and Vision Services Providers / Optometrist 152W00000X 5837 Ohio
Eye and Vision Services Providers / Optometrist 152W00000X 9439507-9934 Utah

Profile Details

NPI number 1861621724
LBN Legal business name Avila, Michele Rena
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2009
Last updated Nov 21st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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