Berner Eye Clinic, Inc

LBN: Berner Eye Clinic, Inc
Berner Eye Clinic, Inc is an health care organization with primary practice located at 250 E 300 S , Salt Lake City UT 84111-2418. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Berner Eye Clinic, Inc can be contacted via phone (801) 322-0467, or through Berner, Terry H via phone (801) 322-0467.

Contact Information

Primary practice address
250 E 300 S Salt Lake City UT 84111-2418
Phone: (801) 322-0467
Fax: (801) 363-6053
Website:
Map and Directions
Authorized official contact:
Name: Berner, Terry H Doctor of Optometry (OD)
Phone: (801) 322-0467

Health care specialties

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

Profile Details

NPI number 1902889165
LBN Legal business name Berner Eye Clinic, Inc
DBA Doing business as
Authorized official Berner, Terry H Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 16th, 2010 - about 14 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 1902889165 NPPES
Utah Other 000055287 MEDICARE GROUP #
Utah MEDICAID 481623162009 MEDICARE GROUP #

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