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Contact Information

EYE CARE FOR KIDS
6911 S STATE ST
MIDVALE, UT84047-1239
 Phone: 801-255-8525
 Fax: 801-255-8526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Contact Lens

156FC0800X
 

Contact Lens Fitter

156FC0801X
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for EYE CARE FOR KIDS

NPI Number 1336294750
LBN Legal business name EYE CARE FOR KIDS
Authorized official JOSEPH CARBONE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2007
Last updated 10/04/2024 - More than a year ago
Identifiers
UT Medicaid PRA06546
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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