Salt Lake Retina

LBN: Salt Lake Retina, Llc
Salt Lake Retina is an health care organization with primary practice located at 3855 W 7800 S Suite 100, West Jordan UT 84088-5560. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty. Salt Lake Retina, Llc can be contacted via phone (801) 260-0034, or through Mehr, Douglas S via phone (801) 260-0034.

Contact Information

Primary practice address
3855 W 7800 S Suite 100 West Jordan UT 84088-5560
Phone: (801) 260-0034
Fax: (801) 260-0035
Website:
Map and Directions
Authorized official contact:
Name: Mehr, Douglas S Doctor of Medicine (MD)
Phone: (801) 260-0034

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 5934492-1205 Utah
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1144622234
LBN Legal business name Salt Lake Retina, Llc
DBA Doing business as Salt Lake Retina
Authorized official Mehr, Douglas S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2014
Last updated Apr 10th, 2023 - about 2 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 1144622234 NPPES
Utah MEDICAID 1508052234

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