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Contact Information

SOUTH VALLEY EYECARE CENTER, INC.
276 SPRINGCREEK PKWY
PROVIDENCE, UT84332
 Phone: 435-713-4444
 Fax: 435-787-1238
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

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

NPI Number 1528299245
LBN Legal business name SOUTH VALLEY EYECARE CENTER, INC.
Authorized official DAVID SMITH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2009
Last updated 01/25/2011 - About 15 years ago
Identifiers
UT License # 346644-9934
UT Medicaid 518119744008
UT Other QM0000053383 ALTIUS
UT Other 51811974400001 BLUE CROSS BLUE SHIELD
UT Other 615808 DMBA
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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