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Contact Information

MICHAEL MARTY, OD
6525 S STATE ST
C/O OPTICAL
MURRAY, UT84107-7218
 Phone: 801-685-7989
 Fax: 801-685-9105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL MARTY · (Male)

NPI # 1497743942
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/10/2005
Last updated 04/22/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 2774349934
  • UT Medicaid 999000797009
  • UT Other 87017934007001 BLUE CROSS/BLUE SHIELD
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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