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Contact Information

STEPHEN C LEWIS, OD
1901 W PARKWAY BLVD
SALT LAKE CITY, UT84119
 Phone: 801-886-2020
 Fax: 801-954-0054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for STEPHEN C LEWIS · (Male)

NPI # 1184653818
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/03/2006
Last updated 05/23/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 1108139934
  • UT Medicaid 999000797009
  • UT Other 87017934007001 BC/BS
  • UT Other 87017934024001 BC/BS
  • UT Other 000009841 MEDICARE STORE #13 PTAN
  • UT Other 000004481 MEDICARE STORE #5 PTAN
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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