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Contact Information

RETINAPRO, PC
440 D ST
210
SALT LAKE CITY, UT84103-2817
 Phone: 801-408-3705
 Fax: 801-408-3706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for RETINAPRO, PC

NPI Number 1104061167
LBN Legal business name RETINAPRO, PC
Authorized official JEANNE HESS - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2008
Last updated 01/08/2009 - About 17 years ago
Identifiers
UT License # 5216808-1205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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