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Contact Information

MICHAEL L WEST OD PC
650 UNION SQ
SANDY, UT84070-3403
 Phone: 801-572-3937
 Fax: 801-572-9849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MICHAEL L WEST OD PC

NPI Number 1790008290
LBN Legal business name MICHAEL L WEST OD PC
Authorized official MICHAEL WEST - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2010
Last updated 03/11/2010 - About 16 years ago
Identifiers
UT License # 111824-8908
UT License # 111824-9934
UT Medicaid 528765046000
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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