Caywood, Traer Gary
Caywood, Traer Gary is an individual health care provider with primary practice located at 1355 N University Ave Suite 100, Provo UT 84604-2721. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Caywood, Traer Gary can be contacted via phone (801) 377-4333.Contact Information
Primary practice address
1355 N University Ave Suite 100
Provo UT 84604-2721
Phone: (801) 377-4333
Fax: (801) 370-3951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 91-111585-9934 | Utah |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 91-111585-9934 | Utah |
Profile Details
| NPI number | 1164414744 |
|---|---|
| LBN Legal business name | Caywood, Traer Gary |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Oct 30th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164414744 | NPPES |
| Utah | MEDICAID | 529867420 |
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