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Contact Information

EYE DOCTOR LLC
5331 ADAMS AVE PKWY STE B
OGDEN, UT84405-4755
 Phone: 801-479-7850
 Fax: 801-479-7825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYE DOCTOR LLC

NPI # 1407470040
LBN Legal business name EYE DOCTOR LLC
Authorized official JEREMIAH CHURCH - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/29/2020
Last updated 05/29/2020 - About 6 years ago
Identifiers n/a
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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