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Contact Information

JEREMY P GERRITSEN, OD
12391 S 4000 W
RIVERTON, UT84096-7012
 Phone: 801-302-1700
 Fax: 801-302-1714
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JEREMY P GERRITSEN · (Male)

NPI Number 1538321237
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/25/2008
Last updated 05/13/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 70382989934
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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