Monson, Michael Mark
Monson, Michael Mark is an individual health care provider with primary practice located at 345 W 600 S Ste 300 , Heber City UT 84032-2268. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Monson, Michael Mark can be contacted via phone (435) 654-1863.Contact Information
Primary practice address
345 W 600 S Ste 300
Heber City UT 84032-2268
Phone: (435) 654-1863
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 757 OPT | Montana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12983357-9934 | Utah |
Profile Details
| NPI number | 1205927175 |
|---|---|
| LBN Legal business name | Monson, Michael Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | May 31st, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205927175 | NPPES |
| Montana | MEDICAID | 0483072 | |
| Montana | Other | 28091 | |
| Montana | Other | DB9976 | |
| Montana | MEDICAID | 121304100 | |
| Montana | MEDICAID | OD 075 MT |
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