U Of U Rocky Mountain Ophthalmology
LBN: U Of U Rocky Mountain Ophthalmology
U Of U Rocky Mountain Ophthalmology is an health care organization with primary practice located at 4400 S 700 E , Salt Lake City UT 84107-3000. The organization recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Contact Lens Fitter, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
U Of U Rocky Mountain Ophthalmology can be contacted via phone (801) 264-4464, or through Olson, Randall J via phone (801) 581-3195.
Contact Information
Primary practice address
4400 S 700 E
Salt Lake City UT 84107-3000
Phone: (801) 264-4464
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | ||
| Eye and Vision Services Providers / Contact Lens | 156FC0800X | ||
| Eye and Vision Services Providers / Contact Lens Fitter | 156FC0801X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1831134519 |
|---|---|
| LBN Legal business name | U Of U Rocky Mountain Ophthalmology |
| DBA Doing business as | |
| Authorized official | Olson, Randall J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Sep 6th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831134519 | NPPES |
| Idaho | Other | 807025800 | IDAHO MEDICAID |
| Idaho | Other | 114230500 | IDAHO MEDICAID |
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