Simmons, Robert Lynn
Simmons, Robert Lynn is an individual health care provider with primary practice located at 12 N 1100 E , American Fork UT 84003-2952. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Simmons, Robert Lynn can be contacted via phone (801) 756-9627.Contact Information
Primary practice address
12 N 1100 E
American Fork UT 84003-2952
Phone: (801) 756-9627
Fax: (801) 763-0126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 114653-9934 | Utah |
Profile Details
| NPI number | 1689633877 |
|---|---|
| LBN Legal business name | Simmons, Robert Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Oct 11th, 2011 - about 13 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 | 1689633877 | NPPES |
| Utah | MEDICAID | 1689633877 | |
| Utah | Other | 164679 | |
| Utah | Other | 275926 | |
| Utah | Other | 87688 | |
| Utah | Other | 87028357684003A004 |
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