Eye Clinic & Contact Lens Center Of Utah Valley Pc

LBN: Eye Clinic & Contact Lens Center Of Utah Valley Pc
Eye Clinic & Contact Lens Center Of Utah Valley Pc is an health care organization with primary practice located at 2230 N University Pkwy Ste 10A , Provo UT 84604-1594. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eye Clinic & Contact Lens Center Of Utah Valley Pc can be contacted via phone (801) 373-4550, or through Monson, Roland K via phone (801) 373-4550.

Contact Information

Primary practice address
2230 N University Pkwy Ste 10A Provo UT 84604-1594
Fax:
Website:
Authorized official contact:
Name: Monson, Roland K Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 109118-9934 Utah

Profile Details

NPI number 1336336080
LBN Legal business name Eye Clinic & Contact Lens Center Of Utah Valley Pc
DBA Doing business as
Authorized official Monson, Roland K Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Jan 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336336080 NPPES
Utah MEDICAID 519502484001

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