Vision Institute Of Utah

LBN: Jamestown Eye Care Center Llc
Vision Institute Of Utah is an health care organization with primary practice located at 3651 N 100 E Ste 250 , Provo UT 84604-4518. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Jamestown Eye Care Center Llc can be contacted via phone (801) 373-3337, or through Plothow, Phillip Anthony via phone (801) 373-3337.

Contact Information

Primary practice address
3651 N 100 E Ste 250 Provo UT 84604-4518
Fax:
Website:
Authorized official contact:
Name: Plothow, Phillip Anthony Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Utah
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5201910001 Utah

Profile Details

NPI number 1245413772
LBN Legal business name Jamestown Eye Care Center Llc
DBA Doing business as Vision Institute Of Utah
Authorized official Plothow, Phillip Anthony Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2007
Last updated Oct 12th, 2012 - about 12 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 1245413772 NPPES
Utah MEDICAID 529179327002

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