National Provider Identifier Database

SOUTH VALLEY EYECARE CENTER INC
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

SOUTH VALLEY EYECARE CENTER, INC.
276 SPRINGCREEK PKWY
PROVIDENCE, UT84332
Phone: 435-713-4444
Fax: 435-787-1238
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for SOUTH VALLEY EYECARE CENTER, INC.

NPI Number 1528299245
Legal business name
LBN
SOUTH VALLEY EYECARE CENTER, INC.
Authorized official DAVID SMITH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/29/2009
Last updated 01/25/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 346644-9934
  • UT Medicaid: 518119744008
  • UT Other: QM0000053383 ALTIUS
  • UT Other: 51811974400001 BLUE CROSS BLUE SHIELD
  • UT Other: 615808 DMBA

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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