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Contact Information

RETINA AND VITREOUS SURGEONS OF UTAH INC
1055 N 300 W
SUITE 210
PROVO, UT84604-3344
 Phone: 801-357-7704
 Fax: 801-357-7424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for RETINA AND VITREOUS SURGEONS OF UTAH INC

NPI Number 1528186954
LBN Legal business name RETINA AND VITREOUS SURGEONS OF UTAH INC
Authorized official JOHN CARVER - (PRESIDENT OR CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2007
Last updated 04/28/2008 - About 18 years ago
Identifiers
UT License # 165213-1205
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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