National Provider Identifier Database

CENTRAL UTAH CLINIC PC
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

CENTRAL UTAH CLINIC, P.C.
5872 S 900 E STE 100
MURRAY, UT84121-1677
Phone: 801-261-0726
Fax: 801-262-2838
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for CENTRAL UTAH CLINIC, P.C.

NPI Number 1265907620
Legal business name
LBN
CENTRAL UTAH CLINIC, P.C.
Authorized official JED HARSTON - (DIRECTOR OF MANAGED CARE)
Entity Organization
Organization subpart Yes
Enumeration date 10/11/2018
Last updated 10/11/2018 - About 8 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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