Redwood Vision Center

LBN: Kerry A Okelberry O D P C
Redwood Vision Center is an health care organization with primary practice located at 6705 Redwood Rd , West Jordan UT 84084-2402. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Kerry A Okelberry O D P C can be contacted via phone (801) 268-0866, or through Okelberry, Kerry A. via phone (801) 268-0866.

Contact Information

Primary practice address
6705 Redwood Rd West Jordan UT 84084-2402
Phone: (801) 268-0866
Fax: (801) 268-2092
Website:
Map and Directions
Authorized official contact:
Name: Okelberry, Kerry A. Doctor of Optometry (OD)
Phone: (801) 268-0866

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 1125139934 Utah

Profile Details

NPI number 1639264427
LBN Legal business name Kerry A Okelberry O D P C
DBA Doing business as Redwood Vision Center
Authorized official Okelberry, Kerry A. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 5th, 2014 - about 11 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 1639264427 NPPES
Utah MEDICAID 528904440008
Utah Other DR3610

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