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Contact Information

MT OGDEN EYE CENTER LLC
1551 RENAISSANCE TOWNE DR
SUITE 340
BOUNTIFUL, UT84010-7667
 Phone: 801-409-9900
 Fax: 801-409-9901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MT OGDEN EYE CENTER LLC · (Female)

NPI # 1740431428
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2008
Last updated 04/10/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 176195-1205
  • UT License # 2012-42863
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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