Optometryprnpc

Optometrist · Midvale, UT

Organization Active NPI

NPI number 1720185952

Practice location

914 Fort Union Blvd
Midvale, UT 84047-1714
Phone
(801) 561-4282
Fax
(801) 561-4283

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NPI record

NPI
1720185952
Entity type
Organization (Type 2)
Enumeration date
September 20, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — —

Authorized official

Name
Tina C. Martin, O.D.
Title
Optometrist, Owner
Phone
(801) 561-4282

Other names

  • Family Center Vision Clinic

About Optometryprnpc

Optometryprnpc is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 914 Fort Union Blvd, Midvale, UT 84047-1714. The NPI number 1720185952 was assigned on September 20, 2006 and the record was last updated on August 22, 2020.

The authorized official for this organization is Tina C. Martin, O.D., Optometrist, Owner.

Frequently asked questions

What is the NPI number of Optometryprnpc?

The NPI number is 1720185952.

What is the phone number of Optometryprnpc?

The phone number listed for the practice location is (801) 561-4282.

Where is Optometryprnpc located?

914 Fort Union Blvd, Midvale, UT 84047-1714.

What is the taxonomy code for Optometryprnpc?

The primary taxonomy code is 152W00000X – Optometrist.

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.

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