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Contact Information

UTAH VISION DEVELOPMENT CENTER, LLC
3672 W SOUTH JORDAN PKWY
STE 103
SOUTH JORDAN, UT84009-7171
 Phone: 801-810-1060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for UTAH VISION DEVELOPMENT CENTER, LLC

NPI Number 1104123801
LBN Legal business name UTAH VISION DEVELOPMENT CENTER, LLC
Authorized official JARROD DAVIES - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2011
Last updated 06/02/2020 - About 6 years ago
Identifiers
UT License # 7383319-9934
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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