Edmunds, Frank Middleton

Edmunds, Frank Middleton is an individual health care provider with primary practice located at 1055 N 300 W Ste 204, Provo UT 84604-3374. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Edmunds, Frank Middleton can be contacted via phone (801) 357-7373.

Contact Information

Primary practice address
1055 N 300 W Ste 204 Provo UT 84604-3374
Fax: (801) 357-7217
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1109409934 Utah

Profile Details

NPI number 1578560165
LBN Legal business name Edmunds, Frank Middleton
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jun 10th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578560165 NPPES
Utah MEDICAID F0387

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