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Contact Information

BALTAZAR VEGA, OD
560 S STATE ST STE A265
OREM, UT84058
 Phone: 801-820-0920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BALTAZAR VEGA · (Male)

NPI Number 1730431065
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/10/2012
Last updated 11/02/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 6779772-9934
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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