Davis Vision Center

LBN: Davis Vision Center
Davis Vision Center is an health care organization with primary practice located at 1325 W South Jordan Pkwy Suite 103, South Jordan UT 84095-9060. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Davis Vision Center can be contacted via phone (801) 253-3080, or through Davis, Brian R via phone (801) 253-3080.

Contact Information

Primary practice address
1325 W South Jordan Pkwy Suite 103 South Jordan UT 84095-9060
Fax: (801) 253-0772
Website:
Authorized official contact:
Name: Davis, Brian R Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1215947023
LBN Legal business name Davis Vision Center
DBA Doing business as
Authorized official Davis, Brian R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Mar 11th, 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 1215947023 NPPES
Utah Other 180043150 RAILROAD MEDICARE
Utah Other DH0042 RAILROAD MEDICARE
Utah MEDICAID 1679583470 RAILROAD MEDICARE

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