National Provider Identifier Database

PROVO VISION EYE CARE
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

PROVO VISION & EYE CARE
1313 S UNIVERSITY AVE
PROVO, UT84601-5943
Phone: 971-217-9763
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X
Low Vision Rehabilitation 152WL0500X
Occupational Vision 152WX0102X
Pediatrics 152WP0200X
Sports Vision 152WS0006X
Vision Therapy 152WV0400X

* Indicates primary specialty

NPI Profile & details for PROVO VISION & EYE CARE

NPI Number 1568006500
Legal business name
LBN
PROVO VISION & EYE CARE
Authorized official BALTAZAR VEGA - (OWNER/OPTOMETRIST)
Entity Organization
Organization subpart No
Enumeration date 11/02/2019
Last updated 11/02/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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