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Contact Information

EYE CARE FOR KIDS
6911 S STATE ST
MIDVALE, UT84047-1239
 Phone: 801-255-8525
 Fax: 801-255-8526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Contact Lens

156FC0800X
 

Contact Lens Fitter

156FC0801X
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for EYE CARE FOR KIDS · (Female)

NPI # 1336294750
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2007
Last updated 10/04/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • UT Medicaid PRA06546
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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