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Contact Information

BETHANY R GILLETT, OD
3029 S COLT PLAZA DR STE 1
WEST VALLEY CITY, UT84128-4015
 Phone: 801-968-6772
 Fax: 801-968-6771
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BETHANY R GILLETT · (Female)

NPI Number 1225651011
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/27/2020
Last updated 05/27/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 117805229934
  • UT Other 1174708663 MOUNTAIN WEST EYECARE, LLC
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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