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Contact Information

EYE PROSTHETICS OF UTAH, INC.
7400 UNION PARK AVE
SUITE 102
MIDVALE, UT84047-6705
 Phone: 801-942-1600
 Fax: 801-942-1717
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for EYE PROSTHETICS OF UTAH, INC.

NPI Number 1366475154
LBN Legal business name EYE PROSTHETICS OF UTAH, INC.
Authorized official RICHARD CARUSO - (PRESIDENT/OCULARIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2006
Last updated 04/06/2011 - About 15 years ago
Identifiers
UT License # 57403940142
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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