Department Of Ophthalmology
LBN: Department Of Ophthalmology
Department Of Ophthalmology is an health care organization with primary practice located at 65 Mario Capecchi Dr , Salt Lake City UT 84132-0001. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Contact Lens, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Department Of Ophthalmology can be contacted via phone (801) 581-3195, or through Olson, Randall J via phone (801) 581-3195.
Contact Information
Primary practice address
65 Mario Capecchi Dr
Salt Lake City UT 84132-0001
Phone: (801) 581-3195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | ||
| Eye and Vision Services Providers / Contact Lens | 156FC0800X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1851327415 |
|---|---|
| LBN Legal business name | Department Of Ophthalmology |
| DBA Doing business as | |
| Authorized official | Olson, Randall J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Apr 10th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851327415 | NPPES |
| Idaho | Other | 805078300 | IDAHO MEDICAID |
| Idaho | Other | 122455700 | IDAHO MEDICAID |
| Idaho | Other | 100503634 | IDAHO MEDICAID |
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