Kickapoo Management LLC
Eyewear Supplier · Perry, UT
Practice location
2480 S Highway 89Suite B
Perry, UT 84302-6727
- Phone
- (435) 239-8756
NPI record
- NPI
- 1568849073
- Entity type
- Organization (Type 2)
- Enumeration date
- May 5, 2015
- Last updated
- January 15, 2016
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Eyewear Supplier Primary | 332H00000X |
— | UT |
Authorized official
- Name
- Dr. Paul E Reed, O.D.
- Title
- Managing Member
- Phone
- (435) 239-8756
Other names
- Perry EyeCare
About Kickapoo Management LLC
Kickapoo Management LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Eyewear Supplier (code 332H00000X). The practice location is 2480 S Highway 89, Suite B, Perry, UT 84302-6727. The NPI number 1568849073 was assigned on May 5, 2015 and the record was last updated on January 15, 2016.
The authorized official for this organization is Dr. Paul E Reed, O.D., Managing Member.
Frequently asked questions
What is the NPI number of Kickapoo Management LLC?
The NPI number is 1568849073.
What is the phone number of Kickapoo Management LLC?
The phone number listed for the practice location is (435) 239-8756.
Where is Kickapoo Management LLC located?
2480 S Highway 89, Suite B, Perry, UT 84302-6727.
What is the taxonomy code for Kickapoo Management LLC?
The primary taxonomy code is 332H00000X – Eyewear Supplier.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Eyewear Supplier providers in Perry
- Wal-Mart Stores, Inc1200 S Commerce Way