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Contact Information

SOUTHEASTERN UTAH EYE CLINIC PC
54 E 100 N
PRICE, UT84501
 Phone: 435-637-2414
 Fax: 435-637-8205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN UTAH EYE CLINIC PC

NPI # 1477736403
LBN Legal business name SOUTHEASTERN UTAH EYE CLINIC PC
Authorized official JUDY SACCOMANNO - (PRESIDENT STOCK HOLDER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2007
Last updated 12/13/2007 - About 18 years ago
Identifiers
UT License # 60582630144
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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