National Provider Identifier Database

WENDOVER EYECARE
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

WENDOVER EYECARE
479 E. WENDOVER BLVD.
WENDOVER, UT84083
Phone: 801-699-2052
Fax: 801-250-5981
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for WENDOVER EYECARE

NPI Number 1457389843
Legal business name
LBN
WENDOVER EYECARE
Authorized official SHAUN LARSEN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/28/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 3758049934
  • UT Medicaid: 528455690016

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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