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Contact Information

MICHAEL M JUDKINS AND ASSOCIATES, INC.
5331 ADAMS AVE PKWY STE B
OGDEN, UT84405-4755
 Phone: 385-626-7699
 Fax: 385-626-7816
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL M JUDKINS AND ASSOCIATES, INC.

NPI Number 1871696179
LBN Legal business name MICHAEL M JUDKINS AND ASSOCIATES, INC.
Authorized official SPRING DEROCHE - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2006
Last updated 09/14/2023 - About 3 years ago
Identifiers
UT License # 375535-9934
UT Medicaid 529378983004
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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