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Contact Information

MICHAEL F. PINGREE MD PC
3465 S 4155 W STE 4
WEST VALLEY CITY, UT84120-2079
 Phone: 801-966-0081
 Fax: 801-966-0218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmic Technician/Technologist

156FX1100X
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL F. PINGREE MD PC

NPI # 1831387125
LBN Legal business name MICHAEL F. PINGREE MD PC
Authorized official MICHAEL PINGREE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2007
Last updated 06/23/2010 - About 16 years ago
Identifiers
UT License # 47809529934
UT License # 51179711205
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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