Progressive Eye Care, Llc

LBN: Progressive Eye Care, Llc
Progressive Eye Care, Llc is an health care organization with primary practice located at 3556 W 9800 S Suite 104, South Jordan UT 84095-3211. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Progressive Eye Care, Llc can be contacted via phone (801) 676-2020, or through Broadhead, Jeffrey L. via phone (801) 676-2020.

Contact Information

Primary practice address
3556 W 9800 S Suite 104 South Jordan UT 84095-3211
Phone: (801) 676-2020
Fax: (801) 253-6591
Website:
Map and Directions
Authorized official contact:
Name: Broadhead, Jeffrey L. Doctor of Optometry (OD)
Phone: (801) 676-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4826018-9934 Utah

Profile Details

NPI number 1922282599
LBN Legal business name Progressive Eye Care, Llc
DBA Doing business as
Authorized official Broadhead, Jeffrey L. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Dec 21st, 2007 - about 17 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 1922282599 NPPES
Utah MEDICAID 528592101002

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