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Contact Information

SOUTHEASTERN UTAH EYE CLINIC PC
54 E 100 N
PRICE, UT84501
 Phone: 435-637-2414
 Fax: 435-637-8205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN UTAH EYE CLINIC PC · (Female)

NPI # 1477736403
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2007
Last updated 12/13/2007 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 60582630144
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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