Frank A Siddoway Od Pc

LBN: Frank A Siddoway Od Pc
Frank A Siddoway Od Pc is an health care organization with primary practice located at 1675 N 200 W #11-A, Provo UT 84604-2540. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Frank A Siddoway Od Pc can be contacted via phone (801) 374-2227, or through Siddoway, Frank A via phone (801) 374-2227.

Contact Information

Primary practice address
1675 N 200 W #11-A Provo UT 84604-2540
Phone: (801) 374-2227
Fax: (801) 374-5197
Website:
Map and Directions
Authorized official contact:
Name: Siddoway, Frank A Doctor of Optometry (OD)
Phone: (801) 374-2227

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1125699934 Utah

Profile Details

NPI number 1073786505
LBN Legal business name Frank A Siddoway Od Pc
DBA Doing business as
Authorized official Siddoway, Frank A Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2008
Last updated May 6th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073786505 NPPES
Utah MEDICAID 529902626008

Popular Providers