Department Of Ophthalmology - Pediatric Division
LBN: Department Of Ophthalmology - Pediatric Division
Department Of Ophthalmology - Pediatric Division is an health care organization with primary practice located at 100 Mario Capecchi Dr # 3650, Salt Lake City UT 84112-8924. The organization recently has 5 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, Eye and Vision Services Providers / Contact Lens Fitter, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Department Of Ophthalmology - Pediatric Division can be contacted via phone (801) 581-3195, or through Olson, Randall J via phone (801) 581-3195.
Contact Information
Primary practice address
100 Mario Capecchi Dr # 3650
Salt Lake City UT 84112-8924
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 | ||
| Eye and Vision Services Providers / Contact Lens Fitter | 156FC0801X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1467497156 |
|---|---|
| LBN Legal business name | Department Of Ophthalmology - Pediatric Division |
| DBA Doing business as | |
| Authorized official | Olson, Randall J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Sep 20th, 2011 - about 13 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 | 1467497156 | NPPES |
| Nevada | Other | 100503637 | NEVADA MEDICAID |
| Nevada | Other | 122451400 | NEVADA MEDICAID |
| Nevada | Other | 806964900 | NEVADA MEDICAID |
Popular Providers
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Department Of Ophthalmology
65 Mario Capecchi Dr , Salt Lake City UT 84132-0001 -
Surgical Care Associates
1025 East 3300 South Suite B, Salt Lake City UT 84106-4389 -
Retina Associates Of Utah, P.C.
5169 Cottonwood St Ste 630 , Salt Lake City UT 84107-6771 -
U Of U Rocky Mountain Ophthalmology
4400 S 700 E , Salt Lake City UT 84107-3000 -
Todd Daynes, Md, Pc
1250 E 3900 S Ste 310 , Salt Lake City UT 84124-1350 -
Dr Rachel S Benator Md Pc
1025 E 3300 S Suite B, Salt Lake City UT 84106-2849 -
Legacy Medical Pc
4400 S 700 E Ste 140 , Salt Lake City UT 84107-3053 -
Eye Institute Of Utah Inc
755 E 3900 S , Salt Lake City UT 84107-2105